Individual
SHAWN HARDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3622 PROSPECT AVE E, CLEVELAND, OH 44115-2704
(216) 431-4600
Mailing address
25 SEVERANCE CIR APT 215, CLEVELAND HEIGHTS, OH 44118-1505
(216) 256-5272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.165152
OH
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/27/2019
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