Individual
CHARLOTTE QUERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1257 WEBB RD, LAKEWOOD, OH 44107-2250
(216) 374-4106
Mailing address
1257 WEBB RD, LAKEWOOD, OH 44107-2250
(216) 374-4106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150167
OH
Other
Enumeration date
07/15/2015
Last updated
07/15/2015
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