Individual provider · Type 1 NPI

Shannon Gunckel

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1003775537 Active

Practice location

5563 Far Hills Ave
Dayton, OH 45429-2225

Call (937) 291-2300 Map

Fax (937) 291-2303

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.194656 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1003775537

Shannon Gunckel's National Provider Identifier is 1003775537, issued on Jan 20, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Jan 20, 2026.