Individual
CLARENCE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
Mailing address
4269 PEARL RD, CLEVELAND, OH 44109-4234
(216) 431-4131
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
104100000X
Social Worker
Primary
S.1302253
OH
Other
Enumeration date
11/02/2017
Last updated
09/26/2023
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