Individual
AVREY J CORNELIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3094 W MARKET ST STE 105, FAIRLAWN, OH 44333-3617
(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
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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