Individual
CLARISSA CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 AIRPORT STREET, AMBLER, AK 99786
(907) 445-2129
Mailing address
06 REDSTONE STREET, AMBLER, AK 99786
(907) 445-2192
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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