Individual
JAMIE PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
2530 BUNDY DR APT I, CLEVELAND, OH 44104-1823
(216) 804-7212
Mailing address
1054 E 169TH ST, CLEVELAND, OH 44110-1521
(216) 804-7212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165372
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/04/2018
Last updated
04/18/2023
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