Individual
GWENETTE E DANIELS NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7344 PEARL RD # 2B, CLEVELAND, OH 44130-9602
(440) 625-0081
(440) 625-0053
Mailing address
7344 PEARL RD # 2B, CLEVELAND, OH 44130-9602
(440) 625-0081
(440) 625-0053
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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