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Individual

MS. EILENE SHARON GOLUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC, LICDC, LSW

Contact information

Practice address
23761 BRYDEN RD, BEACHWOOD, OH 44122-4026
(216) 831-4294
(216) 831-3943
Mailing address
23761 BRYDEN RD, BEACHWOOD, OH 44122-4026
(216) 831-4294
(216) 831-3943

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
981155
OH
101YM0800X
Mental Health Counselor
Primary
E0001956
OH
104100000X
Social Worker
S0013448
OH

Other

Enumeration date
03/20/2010
Last updated
03/20/2010
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