STACEY R HERRADA

CLEVELAND, OH
NPI1376249490
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  181170)
Enumeration Date2023-01-31
Last Update Date2023-01-31
Business Address
STACEY R HERRADA CDCA
14445 BROADWAY AVE
CLEVELAND, OH 44125-1957
Phone number: 443-542-7765
Mailing Address
STACEY R HERRADA CDCA
14445 BROADWAY AVE
CLEVELAND, OH 44125-1957
Phone number: 443-542-7765