Individual
JACQUELIN ANN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC LSW
Contact information
Practice address
1905 E 89TH ST, CLEVELAND, OH 44106-2007
(216) 231-3772
(216) 231-5040
Mailing address
27030 CEDAR RD, APT.507, BUILDING 2, CLEVELAND, OH 44122-1195
(216) 342-4222
(216) 231-5040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
852174
OH
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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