Individual
BEVERLY COLLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3540 CROTON AVE, CLEVELAND, OH 44115-3212
(216) 202-1017
(216) 431-0788
Mailing address
12480 DEER CREEK DR APT 311, NORTH ROYALTON, OH 44133-6710
(216) 240-3534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
151112
OH
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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