Individual provider · Type 1 NPI

Lecretia Bolden

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1124590633 Active

Practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Mailing address

25151 Zeman Ave
Euclid, OH 44132-1806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124590633

Lecretia Bolden's National Provider Identifier is 1124590633, issued on Dec 21, 2018. 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 Dec 21, 2018.