Individual provider · Type 1 NPI

Samuel Wingo, CDCA

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1811454069 Active

Practice location

12201 Euclid Ave
Cleveland, OH 44106-4310

Mailing address

4500 Euclid Ave
Cleveland, OH 44103-3736

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.166835 (OH)

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

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About NPI 1811454069

Samuel Wingo, CDCA's National Provider Identifier is 1811454069, issued on Feb 25, 2019. 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 Feb 25, 2019.