Cliffton Abrams
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Ironton, OH
NPI 1043711658 · NPPES record last updated Jan 24, 2020
Key facts
- NPI
- 1043711658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- CDCA.171244 (OH)
- Practice address
- 323 Marion Pike Ste 3
Ironton, OH 45638-2958 - Phone
- (740) 646-6640
- Fax
- (866) 475-7263
- NPI assigned
- Feb 28, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
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.166882 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| CDCA.171244 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence County Recovery, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.166882 | OH | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.171244 | OH | Yes |
Addresses
Primary practice location
323 Marion Pike Ste 3
Ironton, OH 45638-2958
Mailing address
323 Marion Pike Ste 3
Ironton, OH 45638-2958
Phone (740) 646-6640
Other providers in Ironton, OH
All providers in Ironton, 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 Jan 24, 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.