Individual provider · Type 1 NPI
Jacqueline Easley, CDCA II
Addiction (Substance Use Disorder) Counselor · Cleveland, OH
NPI number
1205343035
Active
Practice location
4500 Euclid Ave
Cleveland, OH 44103-3736
Mailing address
5977 Bear Creek Dr Apt 121
Bedford Heights, OH 44146-2904
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 150263 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1205343035
Jacqueline Easley, CDCA II's National Provider Identifier is 1205343035, issued on Jan 2, 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 Jan 2, 2018.