MEDICARE: MS. SAVANNAH RAYNE THORNE 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CDCA.193863	OH

General Provider Information

NPI Number	:	1629937925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SAVANNAH RAYNE THORNE CDCA

Provider Business Mailing Address
First Line	:	30841 EUCLID AVE STE 102
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-3100
Country	:	US
Telephone Number	:	216-441-2496
Fax Number	:	216-453-5966

Provider Business Practice Location Address
First Line	:	30841 EUCLID AVE STE 102
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-3100
Country	:	US
Telephone Number	:	216-441-2496
Fax Number	:	216-453-5966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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