Individual
CLINTON L GURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13510 SHADY OAK BLVD, CLEVELAND, OH 44125-6027
(216) 513-3922
Mailing address
13510 SHADY OAK BLVD, CLEVELAND, OH 44125-6027
(216) 513-3922
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171WH0202X
Home Modifications Contractor
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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