Individual
CONSTANCE LAVERNE KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA, PRS
Contact information
Practice address
1444 E 111TH ST, CLEVELAND, OH 44106-1318
(216) 421-4956
Mailing address
1444 E 111TH ST, CLEVELAND, OH 44106-1318
(216) 421-4956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
184286
OH
106S00000X
Behavior Technician
APS.004527
OH
175T00000X
Peer Specialist
APS.004527
OH
Other
Enumeration date
10/26/2023
Last updated
03/14/2025
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