Individual
LUEVENIA DONELLA BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
515 W 30TH ST, LORAIN, OH 44055-1073
(440) 258-0450
Mailing address
515 W 30TH ST, LORAIN, OH 44055-1073
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.182732
OH
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
10/28/2024
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