Individual
DALE ATISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 PROSPECT AVE E, CLEVELAND, OH 44115-2322
(216) 781-3773
(216) 781-2023
Mailing address
1043 THORNHILL DR, CLEVELAND, OH 44108-2316
(216) 303-2745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176807
OH
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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