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Colin James Clegg, CDCA
Peer Specialist in Cleveland, Ohio
NPI 1588219190

Colin James Clegg is a Peer Specialist based in Cleveland, OH. Colin James Clegg practices in Cleveland, OH and has the professional credentials of CDCA. The NPI Number for Colin James Clegg is 1588219190 and holds a License No. CDCA.171039 (Ohio).

The current practice location address for Colin James Clegg is 30800 Chagrin Blvd, Cleveland, OH and can be reached out via phone at 216-591-1253.

Location: 30800 Chagrin Blvd, Cleveland, OH, 44124-5925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588219190
Provider Name
Colin James Clegg
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
30800 Chagrin Blvd, Cleveland, OH, 44124-5925
Phone Number
216-591-1253
Fax Number
Provider Enumeration Date
08/09/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2864093 05 OH
institution
Provider Business Practice Location Address Details
Address
30800 Chagrin Blvd
City
Cleveland
State
Ohio
Zip
44124-5925
Phone Number
216-591-1253
Fax Number
person
Provider Business Mailing Address Details
Address
30800 Chagrin Blvd
City
Cleveland
State
Ohio
Zip
44124-5925
Phone Number
216-591-1253
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
CDCA.171039 (Ohio)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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