Individual
CONNIETORETTA AL-SHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OCPRS
Contact information
Practice address
25201 CHAGRIN BLVD, BEACHWOOD, OH 44122-5600
(216) 910-9015
(216) 910-9015
Mailing address
3214 PROSPECT AVE E, CLEVELAND, OH 44115-2614
(216) 910-9015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
0002339
OH
Other
Enumeration date
04/12/2021
Last updated
05/07/2025
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