Individual provider · NPI-1

Patricia Ann Alexander

Peer Specialist · Cleveland, OH

NPI number1174009583
StatusActive
Last updated in NPPESJan 21, 2021

Details

NPI
1174009583
Entity type
Individual (NPI-1)
Name
Patricia Ann Alexander
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 18, 2018
Certification date
Jan 21, 2021
Last updated
Jan 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist00871OHYes
101YA0400X Counselor, Addiction (Substance Use Disorder)–OH
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.166114OH

Practice location

1744 Payne Ave
Cleveland, OH 44114

Phone 216-544-5068

Mailing address

1744 Payne Ave
Cleveland, OH 44114-2910

Phone 216-544-5068

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