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Individual

CHERITA MILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDCA

Contact information

Practice address
1320 WASHINGTON BLVD, CLEVELAND, OH 44124-1620
(216) 727-2086
Mailing address
1320 WASHINGTON BLVD, CLEVELAND, OH 44124-1620
(216) 727-2086

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
164904
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
164904
OCDB
OH
Enumeration date
12/04/2017
Last updated
12/04/2017
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