Katie Marie Clever
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Perrysville, OH
NPI 1033724877 · NPPES record last updated Sep 9, 2020
Key facts
- NPI
- 1033724877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.174429 (OH)
- Practice address
- 1012 Odnr Mohican 51
Perrysville, OH 44864-9407 - Phone
- (419) 994-0300
- Fax
- (419) 994-0305
- NPI assigned
- Sep 9, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.174429 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.174429 | OH | Yes |
Addresses
Primary practice location
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Mailing address
1012 Odnr Mohican 51
Perrysville, OH 44864-9407
Phone (419) 994-0300
Other providers in Perrysville, OH
- Josette Bowman
- Chasidy Campbell
- Care Connections Counseling LLC
- Jo-Ellen Carpenter
- Tiffany K Chalut
- Michael Cutlip
- Xander Danehart
- Jasmine Davis
- Jennifer Louise Dewitt
- Lisa Doster
All providers in Perrysville, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.