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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.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.