Individual
BRENDA GAIL SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1635 ALAMEDA AVE, LAKEWOOD, OH 44107-4934
(216) 221-4698
Mailing address
6753 STATE RD, PARMA, OH 44134-4517
(440) 843-5544
(440) 843-1633
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.161954
OH
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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