Individual
LENA CLARICE MCGRAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
3364 W 91ST ST, CLEVELAND, OH 44102-4834
(216) 630-1608
Mailing address
3364 W 91ST ST, CLEVELAND, OH 44102-4834
(216) 630-1608
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
165991
OH
175T00000X
Peer Specialist
Primary
000673
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000673
OHIO CERTIFIED PEER RECOVERY SUPPORTER
OH
01
—
165991
OCDP
OH
Enumeration date
01/22/2019
Last updated
05/07/2021
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