Individual
DONNA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 SAINT CLAIR AVE, CLEVELAND, OH 44108-1943
(216) 664-2904
(216) 420-7744
Mailing address
11100 SAINT CLAIR AVE, CLEVELAND, OH 44108-1943
(216) 664-2904
(216) 420-7744
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
933686
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933686
SELF-PAY
OH
05
—
933686
—
OH
Enumeration date
12/20/2016
Last updated
12/20/2016
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