Individual
MS. FELICIA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, LCDCIII
Contact information
Practice address
1905 E 89TH ST, CLEVELAND, OH 44106-2007
(216) 231-3772
(216) 237-2881
Mailing address
6522 ROGERS AVE, CLEVELAND, OH 44127-1438
(216) 502-7772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161591
OH
104100000X
Social Worker
1701620
OH
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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