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Individual

ERIN M GILLEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDCA QMHS

Contact information

Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA172593
OH
172V00000X
Community Health Worker
OH

Other

Enumeration date
05/31/2019
Last updated
01/28/2020
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