Individual
JEFFREY MARTIN MUNSHOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3719 DENISON AVE, CLEVELAND, OH 44109-2691
(216) 334-8951
Mailing address
3719 DENISON AVE, CLEVELAND, OH 44109-2691
(216) 334-8951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
179274
OH
175T00000X
Peer Specialist
0002216
OH
Other
Enumeration date
02/04/2021
Last updated
05/26/2022
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