Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Royal Blaine, CDCA, OBBC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1740781657

Royal Blaine, CDCA, OBBC is an Addiction (Substance Use Disorder) Counselor in Cleveland, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018

Practice location Address checks out

3622 Prospect Ave E
Cleveland, OH 44115-2704
Phone: (216) 633-8733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.164704 (OH)

Record details

NPI number1740781657
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , OBBC
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESFebruary 26, 2018

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