Cleveland Sex & Intimacy Counseling
Social Worker, Clinical in Cleveland, OH. Organization (NPI-2).
NPI number1982203246
StatusActive
Last updated in NPPESSep 6, 2023
Details
- NPI
- 1982203246
- Entity type
- Organization (NPI-2)
- Legal business name
- Cleveland Sex & Intimacy Counseling
- Organization subpart
- No
- Enumeration date
- Oct 19, 2020
- Certification date
- Dec 3, 2021
- Last updated
- Sep 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 103TC0700X | Psychologist, Clinical | – | – |
Practice location
3500 Lorain Ave Ste 301Cleveland, OH 44113-3726
Phone 216-250-1607 · Fax 216-304-6669
Mailing address
3500 Lorain Ave Ste 301Cleveland, OH 44113-3726
Phone 216-250-1607
Authorized official
Kimberly A Fuller
Ceo
4408236010
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