Individual
ALICIA BLACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
8251 MAYFIELD RD STE 200, CHESTERLAND, OH 44026-2567
(440) 688-4308
(833) 206-5014
Mailing address
8251 MAYFIELD RD STE 200, CHESTERLAND, OH 44026-2567
(440) 490-7226
(833) 206-5014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1200002
OH
101YP2500X
Professional Counselor
Primary
E.1500014-SUPV
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200002
—
OH
Enumeration date
02/12/2015
Last updated
09/11/2025
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