Individual
MR. RICARDO KIRBY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPRS
Contact information
Practice address
2179 W 104TH ST # UP, CLEVELAND, OH 44102-3532
(216) 218-2028
Mailing address
2179 W 104TH ST # UP, CLEVELAND, OH 44102-3532
(216) 218-2028
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.193578
OH
175T00000X
Peer Specialist
Primary
APS.005370
OH
Other
Enumeration date
09/14/2024
Last updated
09/04/2025
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