Individual
JONETHA AASIMAH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
9225 LINCOLN DR APT F10, NORTHFIELD, OH 44067-1155
(216) 466-3675
Mailing address
9225 LINCOLN DR APT F10, NORTHFIELD, OH 44067-1155
(216) 466-3675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.177018
OH
1041C0700X
Clinical Social Worker
Primary
I.2304499
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0408612
—
OH
Enumeration date
06/16/2020
Last updated
10/25/2023
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