Provider Demographics
NPI:1649402801
Name:DEE, MAUREEN E (LISW-S, LICDC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:E
Last Name:DEE
Suffix:
Gender:F
Credentials:LISW-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3135 EUCLID AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2531
Mailing Address - Country:US
Mailing Address - Phone:216-391-2030
Mailing Address - Fax:216-391-8946
Practice Address - Street 1:3135 EUCLID AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2531
Practice Address - Country:US
Practice Address - Phone:216-391-2030
Practice Address - Fax:216-391-8946
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH84027101YA0400X
OHI-00015421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)