Individual
ELIZABETH MARIE HENNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15703 FERNWAY AVENUE, CLEVELAND, OH 44111
(216) 598-0992
Mailing address
15703 FERNWAY AVE, CLEVELAND, OH 44111-1050
(216) 598-0992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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