Individual
JEAN NORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1302 WINSLOW AVE, CLEVELAND, OH 44113-2336
(216) 781-0550
Mailing address
1320 WASHINGTON AVE, CLEVELAND, OH 44113-2333
(216) 781-0550
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
166068
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
170001
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
166068
OCDB
OH
01
—
170001
OCDP
OH
Enumeration date
11/01/2018
Last updated
03/26/2019
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