Individual
MRS. CAROLYN DIANE PITTS-CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW, CDCA, OCPSA
Contact information
Practice address
4100 FRANKLIN BLVD, CLEVELAND, OH 44113-2842
(216) 281-2500
(216) 281-2506
Mailing address
4100 FRANKLIN BLVD, CLEVELAND, OH 44113-2842
(216) 658-4640
(216) 281-2506
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.100054
OH
390200000X
Student in an Organized Health Care Education/Training Program
BSW
OH
405300000X
Prevention Professional
OCPSA.161399
OH
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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