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Lena Clarice Mcgraw, CDCA
Peer Specialist in Cleveland, Ohio
NPI 1639633878

Lena Clarice Mcgraw is a Peer Specialist based in Cleveland, OH. Lena Clarice Mcgraw practices in Cleveland, OH and has the professional credentials of CDCA. The NPI Number for Lena Clarice Mcgraw is 1639633878 and holds a License No. 165991 (Ohio).

The current practice location address for Lena Clarice Mcgraw is 3364 W 91St St, Cleveland, OH and can be reached out via phone at 216-630-1608.

Location: 3364 W 91St St, Cleveland, OH, 44102-4834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639633878
Provider Name
Lena Clarice Mcgraw
Credential
CDCA
Provider Entity Type
Individual
Gender
Female
Address
3364 W 91St St, Cleveland, OH, 44102-4834
Phone Number
216-630-1608
Fax Number
Provider Enumeration Date
01/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000673 01 OH OHIO CERTIFIED PEER RECOVERY SUPPORTER
165991 01 OH OCDP
institution
Provider Business Practice Location Address Details
Address
3364 W 91St St
City
Cleveland
State
Ohio
Zip
44102-4834
Phone Number
216-630-1608
Fax Number
person
Provider Business Mailing Address Details
Address
3364 W 91St St
City
Cleveland
State
Ohio
Zip
44102-4834
Phone Number
216-630-1608
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.
000673 (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
165991 (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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