Individual
CALANDRA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDCIII
Contact information
Practice address
4115 BRIDGE AVE, CLEVELAND, OH 44113-3304
(216) 631-5800
(216) 631-4595
Mailing address
4115 BRIDGE AVE, CLEVELAND, OH 44113-3304
(216) 631-5800
(216) 631-4595
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
131187
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131187
LICENSE
OH
01
—
LCDCIII.131187
LICENSE
OH
Enumeration date
06/15/2017
Last updated
07/21/2022
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