Individual provider · Type 1 NPI

Connietoretta Al-Shami, OCPRS

Addiction (Substance Use Disorder) Counselor · Beachwood, OH

NPI number 1699355966 Active

Practice location

25201 Chagrin Blvd
Beachwood, OH 44122-5600

Call (216) 910-9015 Map

Fax (216) 910-9015

Mailing address

3214 Prospect Ave E
Cleveland, OH 44115-2614

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000X0002339 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1699355966

Connietoretta Al-Shami, OCPRS's National Provider Identifier is 1699355966, issued on Apr 12, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beachwood, OH. The record was last updated on May 7, 2025.