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Individual

CLARENCE A YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CDCA

Contact information

Practice address
3009 BURNET AVE, CINCINNATI, OH 45219-2419
(513) 872-8870
Mailing address
1516 ELM ST APT 8, CINCINNATI, OH 45202-6993
(513) 332-7568

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.169409
OH

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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