person
Nicole Marie Bennett, CDCA179664
Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio
NPI 1992302921

Nicole Marie Bennett is an Addiction (Substance Use Disorder) Counselor based in Cleveland, OH and is specialized in Addiction (Substance Use Disorder). Nicole Marie Bennett practices in Cleveland, OH and has the professional credentials of CDCA179664. The NPI Number for Nicole Marie Bennett is 1992302921 and holds a License No. CDCA.179664 (Ohio).

The current practice location address for Nicole Marie Bennett is 2121 W 117Th St, Cleveland, OH and can be reached out via phone at 216-417-4831 and via fax at 216-417-0040.

Location: 2121 W 117Th St, Cleveland, OH, 44109-2630
person
Provider Profile Details
NPI Number
1992302921
Provider Name
Nicole Marie Bennett
Credential
CDCA179664
Provider Entity Type
Individual
Gender
Female
Address
2121 W 117Th St, Cleveland, OH, 44109-2630
Phone Number
216-417-4831
Fax Number
216-417-0040
Provider Enumeration Date
10/02/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0424123 05 OH
institution
Provider Business Practice Location Address Details
Address
2121 W 117Th St
City
State
Zip
44111-1642
Phone Number
216-417-4831
Fax Number
216-417-0040
person
Provider Business Mailing Address Details
Address
2121 W 117Th St
City
State
Zip
44111-1642
Phone Number
216-417-4831
Fax Number
216-417-0040
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.179664 (Ohio)
Definition
Definition to come...
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