Individual
BILLIE J GILLIAM-FRIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LICDC
Contact information
Practice address
3166 E DERBYSHIRE RD, CLEVELAND HEIGHTS, OH 44118-2757
(216) 339-6682
Mailing address
956 ROANOKE, CLEVELAND HEIGHTS, OH 44121
(216) 339-6682
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.081141
OH
101YP2500X
Professional Counselor
Primary
C.0500894
OH
Other
Enumeration date
11/30/2012
Last updated
06/06/2017
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