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Individual

ARTUR SHAWN FAISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA, NCAC I

Contact information

Practice address
22639 EUCLID AVE, EUCLID, OH 44117-1622
(216) 404-1900
(216) 404-1901
Mailing address
26245 PETTIBONE RD, OAKWOOD VILLAGE, OH 44146-6452
(216) 210-2323

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
011401
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
016868
OH

Other

Enumeration date
09/07/2017
Last updated
09/07/2017
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