DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. JOHNNIE CHRISTIAN CDCA PEER SUPPORT

MEDICARE: MR. JOHNNIE CHRISTIAN CDCA PEER SUPPORT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.162615OH
2175T00000XPeer Specialist0002623OH

General Provider Information

NPI Number : 1578002499
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOHNNIE CHRISTIAN CDCA PEER SUPPORT
Provider Business Mailing Address
First Line : 1400 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1304
Country : US
Telephone Number : 216-391-6672
Fax Number :
Provider Business Practice Location Address
First Line : 1400 E 55TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-1304
Country : US
Telephone Number : 216-391-6672
Fax Number : 440-843-1633
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2017
Last Update Date : 07/30/2023

Similar Medicare Providers

1508701855 — NORTHERN OHIO RECOVERY ASSOCIATION
Practice Location Address:
1400 E 55TH ST
CLEVELAND, OH
44103-1304
Practice Phone: 216-391-6672
Practice Fax: 216-391-4633
1952447393 — NORTHERN OHIO RECOVERY ASSOCIATION
Practice Location Address:
1400 E 55TH ST
CLEVELAND, OH
44103-1304
Practice Phone: 216-391-6672
Practice Fax: 216-391-4633
1710490628 — MRS. CAROLYN D MASSENGALE -HASAN 171M00000X
Practice Location Address:
1400 E 55TH ST
CLEVELAND, OH
44103-1304
Practice Phone: 216-369-8550
Practice Fax:
1225535610 — LYNDA MARIE WHITE
Practice Location Address:
1400 E 55TH ST
CLEVELAND, OH
44103-1304
Practice Phone: 216-391-6672
Practice Fax:
1760973929 — DELORES M CROSBY LICDC
Practice Location Address:
1400 E 55TH ST
CLEVELAND, OH
44103-1304
Practice Phone: 216-391-6672
Practice Fax:
1356835706 — KARL WINFREY LCDCII
Practice Location Address:
1400 E 55TH ST
CLEVELAND, OH
44103-1304
Practice Phone: 216-391-6672
Practice Fax:

Directions to “ MR. JOHNNIE CHRISTIAN CDCA PEER SUPPORT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.