Provider Demographics
NPI:1033623087
Name:MUHAMMAD, KALEEMA (CDCA)
Entity Type:Individual
Prefix:
First Name:KALEEMA
Middle Name:
Last Name:MUHAMMAD
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3417 WESTBURY RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-4215
Mailing Address - Country:US
Mailing Address - Phone:216-325-8119
Mailing Address - Fax:
Practice Address - Street 1:2202 PRAME AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1626
Practice Address - Country:US
Practice Address - Phone:216-459-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2017-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH162064101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)