Individual provider · Type 1 NPI
Kesha Denay Baccus
Addiction (Substance Use Disorder) Counselor · Cleveland Heights, OH
NPI number
1730727686
Active
Practice location
2490 Lee Blvd
Cleveland Heights, OH 44118-1268
Mailing address
18414 Glen Ave
Cleveland, OH 44110-2811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730727686
Kesha Denay Baccus's National Provider Identifier is 1730727686, issued on Dec 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cleveland Heights, OH. The record was last updated on Nov 10, 2022.