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Jamie Parham, CDCA

Peer Specialist in Cleveland, OH. Individual provider (NPI-1).

NPI number1124535752
StatusActive
Last updated in NPPESApr 18, 2023

Details

NPI
1124535752
Entity type
Individual (NPI-1)
Name
Jamie Parham
Credential
CDCA
Sex
Male
Sole proprietor
No
Enumeration date
Jan 4, 2018
Certification date
Apr 18, 2023
Last updated
Apr 18, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)165372OH

Practice location

2530 Bundy Dr Apt I
Cleveland, OH 44104-1823

Phone 216-804-7212

Mailing address

1054 E 169th St
Cleveland, OH 44110-1521

Phone 216-804-7212

Other practice locations

1905 East 89th Street
Cleveland, OH 44106

Phone 219-231-3772

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