Individual
BLAISE S FREELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Contact information
Practice address
5209 DETROIT AVE, CLEVELAND, OH 44102-2224
(216) 325-9109
(216) 358-0928
Mailing address
248 MAIN ST APT 242, WESTLAKE, OH 44145-8163
(863) 393-5962
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162573
OH
1041C0700X
Clinical Social Worker
S.2310054
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/16/2021
Last updated
06/24/2024
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