Individual provider · Type 1 NPI

Rafael Antonio Correa Jr., LCDC III, CAP, ICADC

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1154835007 Active

Practice location

2121 W 117th St
Cleveland, OH 44111-1642

Other practice locations

  • 1420 SW 1st St, Miami, FL 33135-2203 · (305) 859-3812

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X162613 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400X0000214 (FL)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X0100569 (FL)

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

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About NPI 1154835007

Rafael Antonio Correa Jr., LCDC III, CAP, ICADC's National Provider Identifier is 1154835007, issued on Nov 29, 2017. 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 Jan 6, 2025.