Individual
DARRYL CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 641-2316
Mailing address
8411 BROADWAY AVE, CLEVELAND, OH 44105-3932
(216) 641-2316
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171306
OH
Other
Enumeration date
08/02/2020
Last updated
08/02/2020
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