Individual
MR. CHARLES JOHN TUTTLE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC-S
Contact information
Practice address
11401 LORAIN AVE, CLEVELAND, OH 44111-5428
(216) 416-4277
(216) 472-7227
Mailing address
4614 PROSPECT AVE STE 240, CLEVELAND, OH 44103-4365
(216) 406-6688
(216) 472-7227
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
841182
OH
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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