Individual provider · Type 1 NPI
Corey Mao Ya Baumgart
Addiction (Substance Use Disorder) Counselor · Cleveland, OH
NPI number
1710436829
Active
Practice location
30800 Chagrin Blvd
Cleveland, OH 44124-5925
Fax (216) 591-1243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.161575 (OH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1710436829
Corey Mao Ya Baumgart's National Provider Identifier is 1710436829, issued on Sep 30, 2016. 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 Sep 30, 2016.