Individual
JAMES CHARLES SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
071019
OH
104100000X
Social Worker
Primary
S31088
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821184326
CLEVELAND CLINIC AKRON GENERAL REHABILITIATION HOSPITAL
OH
Enumeration date
11/02/2006
Last updated
05/12/2017
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