Individual
CHARLESETTA HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDC III
Contact information
Practice address
30800 CHAGRIN BLVD, PEPPER PIKE, OH 44124-5925
(216) 591-0324
(216) 591-1243
Mailing address
30800 CHAGRIN BLVD, PEPPER PIKE, OH 44124-5925
(216) 591-0324
(216) 591-1243
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61022
OH
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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