Individual
ANNA ELIZABETH WISNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
6900 RIDGE RD STE 200, PARMA, OH 44129-5650
(440) 887-1100
(440) 887-1103
Mailing address
6900 RIDGE RD STE 200, PARMA, OH 44129-5650
(440) 887-1100
(440) 887-1103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.174445
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0336209
—
OH
Enumeration date
02/21/2019
Last updated
02/07/2024
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