Individual
MR. DONARD IDADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
20525 DETROIT RD STE 4, ROCKY RIVER, OH 44116
(216) 566-4018
Mailing address
PO BOX 450924, WESTLAKE, OH 44145-0621
(216) 566-4018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/01/2012
Last updated
05/25/2022
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