Individual
JACK MUZZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1730 W 25TH ST, CLEVELAND, OH 44113-3108
(216) 685-5389
Mailing address
18753 RIVERS EDGE DR E, CHAGRIN FALLS, OH 44023-4953
(216) 392-3104
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
991525
OH
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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