RAFAEL ANTONIO CORREA

CLEVELAND, OH
NPI1154835007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  162613)
Enumeration Date2017-11-29
Last Update Date2023-11-17
Business Address
RAFAEL ANTONIO CORREA LCDC III
2121 W 117TH ST
CLEVELAND, OH 44111-1642
Phone number: 216-417-4831
Mailing Address
RAFAEL ANTONIO CORREA LCDC III
3719 DENISON AVE
CLEVELAND, OH 44109-2691
Phone number: 216-417-4831