| Exodus Clinical Counseling Services | |
|
30841 Euclid Ave Suite 201 Willoughby OH 44094-3100 | |
| (440) 516-0281 | |
| Not Available |
| Full Name | Exodus Clinical Counseling Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 30841 Euclid Ave, Willoughby, Ohio |
| Authorized Official Name and Position | Karen Larkins Graves (EXEC CLINICAL COUNSELOR) |
| Authorized Official Contact | 4405160281 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Exodus Clinical Counseling Services 30841 Euclid Ave Suite 201 Willoughby OH 44094-3100 Ph: (440) 516-0281 | Exodus Clinical Counseling Services 30841 Euclid Ave Suite 201 Willoughby OH 44094-3100 Ph: (440) 516-0281 |
| NPI Number | 1689074023 |
|---|---|
| Provider Enumeration Date | 09/03/2014 |
| Last Update Date | 07/23/2024 |
| Certification Date | 07/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689074023 | NPI | - | NPPES |
| 1386961910 | Other | OH | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 081194 (Ohio) | Primary |
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