Individual
CLINT S STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3622 PROSPECT AVE E, CLEVELAND, OH 44115-2704
(216) 431-4600
Mailing address
4858 CRESTWOOD AVE, WILLOUGHBY, OH 44094-5802
(440) 391-8834
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
150743
OH
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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