Individual provider · Type 1 NPI

Kathleen Boone, LCDC II 161507

Addiction (Substance Use Disorder) Counselor · Cleveland, OH

NPI number 1811472863 Active

Practice location

5209 Euclid Ave
Cleveland, OH 44103-3703

Fax (216) 361-7329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X161507 (OH)

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

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About NPI 1811472863

Kathleen Boone, LCDC II 161507's National Provider Identifier is 1811472863, issued on Sep 26, 2018. 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 26, 2018.