DOUGLAS GOSSARD

DAYTON, OH
NPI1720735756
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.179796)
Enumeration Date2022-03-09
Last Update Date2022-03-09
Business Address
DOUGLAS GOSSARD CDCA
4977 NORTHCUTT PL
DAYTON, OH 45414-3839
Phone number: 937-387-6395
Mailing Address
DOUGLAS GOSSARD CDCA
531 BROWER RD APT 82
LIMA, OH 45801-2538
Phone number:
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