Individual provider · Type 1 NPI

Kayla J. Detore

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1083479661 Active

Practice location

3500 Carnegie Ave
Cleveland, OH 44115-2641

Call (440) 234-2006 Map

Mailing address

434 Eastland Rd Ste 305
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1083479661

Kayla J. Detore's National Provider Identifier is 1083479661, issued on Feb 14, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland, OH. The record was last updated on Feb 23, 2024.