Individual
MR. CEDRICK D GOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC162258, C22042
Contact information
Practice address
17608 EUCLID AVE, CLEVELAND, OH 44112-1216
(216) 417-6166
Mailing address
17608 EUCLID AVE, CLEVELAND, OH 44112-1216
(216) 417-6166
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII161791
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.162258
OH
101YM0800X
Mental Health Counselor
C.2204255
OH
405300000X
Prevention Professional
Primary
OCPS4486
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273389
—
OH
Enumeration date
02/03/2012
Last updated
02/02/2026
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