Individual provider · NPI-1

Mouyad Abduljabar, CDCA

Counselor, Addiction (Substance Use Disorder) · Cleveland, OH

NPI number1700377678
StatusActive
Last updated in NPPESMay 25, 2018

Details

NPI
1700377678
Entity type
Individual (NPI-1)
Name
Mouyad Abduljabar
Credential
CDCA
Sex
Male
Sole proprietor
No
Enumeration date
May 25, 2018
Last updated
May 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.164773OHYes

Practice location

3135 Euclid Ave
Cleveland, OH 44115-2531

Phone 216-426-9870

Mailing address

6753 State Rd
Parma, OH 44134-4517

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