Individual
GLADYS V. HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA.167175
Contact information
Practice address
5209 EUCLID AVE, CLEVELAND, OH 44103-3703
(216) 881-0765
(216) 431-2190
Mailing address
25484 CONCORD DR, BEACHWOOD, OH 44122-6023
(216) 409-3717
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.167175
OH
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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