Individual
EVELYN LYNETTE BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,SWA,LCDCIII
Contact information
Practice address
JORDAN COMMUNITY RESIDENTIAL CENTER, 2231 NORTH TAYLOR RD, CLEVELAND HEIGHTS, OH 44112
(216) 441-2496
Mailing address
4600 CARNEGIE AVE, CLEVELAND, OH 44103-4371
(216) 440-0051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
130328
OH
104100000X
Social Worker
Primary
1500019
OH
Other
Enumeration date
12/28/2017
Last updated
07/24/2020
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