Individual
DEWAYNE T. THOMAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4400 EUCLID AVE., CLEVELAND, OH 44103
(216) 431-5800
Mailing address
7910 CENTRAL AVE, CLEVELAND, OH 44104-2114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162886
OH
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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