Individual
AMEERAH M BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCC-S
Contact information
Practice address
3518 W 25TH ST, CLEVELAND, OH 44109-1951
(216) 865-1982
(216) 739-3639
Mailing address
3518 W 25TH ST, CLEVELAND, OH 44109-1995
(216) 865-1982
(216) 739-3639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.0008240-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268768
—
OH
Enumeration date
07/10/2009
Last updated
12/12/2019
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