Individual
CHARLES DAVID CHRISTIAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 441-0200
Mailing address
1400 E 55TH ST, CLEVELAND, OH 44103-1304
(216) 391-6672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
185909
—
Other
Enumeration date
07/25/2018
Last updated
10/16/2024
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