Individual
MR. ANTWON DEWAYNE EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
6001 WOODLAND AVE STE 703, CLEVELAND, OH 44104-2775
(216) 431-2018
Mailing address
6001 WOODLAND AVE STE 703, CLEVELAND, OH 44104-2775
(216) 431-2018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
169491
OH
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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