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NPI Code Detail

MEDICARE: MRS. PAULA HUNT CDCA

MEDICARE: MRS. PAULA HUNT CDCA
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) Counselor162060OH

General Provider Information

NPI Number : 1053824243
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAULA HUNT CDCA
Provider Business Mailing Address
First Line : 797 BABBITT RD APT 10
Second Line :
City : EUCLID
State : OH
Zip : 44123-2568
Country : US
Telephone Number : 216-240-7353
Fax Number :
Provider Business Practice Location Address
First Line : 3622 PROSPECT AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2704
Country : US
Telephone Number : 216-431-4600
Fax Number : 216-431-4601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2017
Last Update Date : 11/09/2017

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Directions to “ MRS. PAULA HUNT CDCA” Practice Location

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