Individual
DELOREAN L SIMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 SEVERANCE CIR STE 510, CLEVELAND HEIGHTS, OH 44118-1588
(216) 260-9022
Mailing address
1565 E 85TH ST, CLEVELAND, OH 44106-3705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.163338
OH
Other
Enumeration date
07/12/2018
Last updated
06/16/2022
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