Individual
MR. COUNTEE GHAI MOTLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 STORER AVE, CLEVELAND, OH 44102-5526
(440) 985-0787
Mailing address
6216 STORER AVE, CLEVELAND, OH 44102-5526
(440) 985-0787
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00
—
OH
Enumeration date
05/12/2022
Last updated
05/12/2022
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