James Gonnella, LICDC, GAMB, LSW

NPI #1437512761 in West Alexandria, Ohio

Provider Information

NPI Number: 1437512761
Entity Type: Individual
Name: James Gonnella, LICDC, GAMB, LSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LICDC, GAMB, LSW
Enumeration Date: Apr 4, 2016
Last Updated: Apr 4, 2016

Practice Location

Address: 6539 MOSES RD
City: West Alexandria
State: Ohio
ZIP Code: 45381-8582
Phone: (937) 461-5223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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