Individual
BERNARD MAKUPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6001 WOODLAND AVE, CLEVELAND, OH 44104-2762
(216) 431-2018
Mailing address
19200 ROSELAND AVE APT 527, EUCLID, OH 44117-1383
(216) 301-4942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175289
OH
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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