Individual provider · Type 1 NPI

Jacquelin Ann Fields, LICDC LSW

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1275944712 Active

Practice location

1905 E 89th St
Cleveland, OH 44106-2007

Call (216) 231-3772 Map

Fax (216) 231-5040

Mailing address

27030 Cedar Rd, APT.507, Building 2
Cleveland, OH 44122-1195

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X852174 (OH)

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

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About NPI 1275944712

Jacquelin Ann Fields, LICDC LSW's National Provider Identifier is 1275944712, issued on May 19, 2014. 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 May 19, 2014.