Individual
FAITH MARIE CLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2480
(330) 364-9212
Mailing address
204 2ND ST NE, NEW PHILADELPHIA, OH 44663-2808
(234) 801-2480
(330) 364-9212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.166745
OH
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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