Individual
ANGELA GREENLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDCII
Contact information
Practice address
434 EASTLAND RD, BEREA, OH 44017
(440) 234-2006
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
150325
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII161569
OH
Other
Enumeration date
01/10/2018
Last updated
10/29/2019
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