Individual
JACOB COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
2020 CARNEGIE AVE LOWR, CLEVELAND, OH 44115-2337
(216) 859-9500
(216) 415-5635
Mailing address
2020 CARNEGIE AVE LOWR, CLEVELAND, OH 44115-2337
(216) 859-9500
(216) 415-5635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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