Individual
CAROLINE HEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA QMHS BA
Contact information
Practice address
246 NORTHLAND DR, MEDINA, OH 44256-3441
(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
CDCA.177651
OH
171M00000X
Case Manager/Care Coordinator
—
OH
172V00000X
Community Health Worker
—
OH
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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