1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Counselor
  6. NPI Profile

BO DUDLEY CDCA
NPI 1902301765
Counselor - Addiction (Substance Use Disorder) in Cleveland, OH

Active since March 26, 2018
1320 WASHINGTON AVE, CLEVELAND, OH 44113(216) 781-0550(216) 781-7501 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bo Dudley Cdca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BO DUDLEY CDCA (NPI 1902301765) is an individual addiction (substance use disorder) provider in Cleveland, Ohio, licensed in Ohio (.152026) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1902301765
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameBO DUDLEYCredential: CDCA
Location Address1320 WASHINGTON AVECleveland, OH 44113-2333
Mailing Address1320 Washington AveCleveland, OH 44113-2333 · (216) 781-0550 · Fax (216) 781-7501
Phone(216) 781-0550
Fax(216) 781-7501
Sole ProprietorYes
Enumeration DateMarch 26, 2018
✔ NPI 1902301765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · .152026
1320 WASHINGTON AVE, Cleveland, OH 44113
Open in Google Maps ↗

Other Identifiers 1

Other.152026OH · Chemical Dependency Professionals Board

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGINA EDMONDSON
Counselor (Addiction (Substance Use Disorder))
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
MARSHAWNETTE MONIQUE DANIELS LPN
Licensed Practical Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
JACULYN ZARBACK LPN
Nurse Practitioner
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (440) 840-4404
KAYLA KOWALL LPN
Licensed Practical Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
RAUL WILLIAMS CDCA
Counselor (Addiction (Substance Use Disorder))
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 727-2086
JAMES GAYDOSH CDCA II
Counselor (Addiction (Substance Use Disorder))
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 727-2055
CAROLE ANNE NEGUS RN
Registered Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550
ANTOINETTE MARIE WHITTICAR
Registered Nurse
1320 WASHINGTON AVE
CLEVELAND, OH 44113
Cuyahoga County (216) 781-0550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bo Dudley's NPI number?

The NPI number for Bo Dudley is 1902301765. It was assigned to this individual provider in the NPPES registry on March 26, 2018.

Where is Bo Dudley located?

Bo Dudley practices at 1320 Washington Ave, Cleveland, OH 44113. The listed phone number is (216) 781-0550.

What is Bo Dudley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Bo Dudley was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.