Carly Bevacqua

NPI #1821603325 in Parma, Ohio

Provider Information

NPI Number: 1821603325
Entity Type: Individual
Name: Carly Bevacqua
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Sep 10, 2020
Last Updated: Feb 2, 2021

Practice Location

Address: 6823 FARNSWORTH DR
City: Parma
State: Ohio
ZIP Code: 44129-4514
Phone: (216) 644-2344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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