Individual provider · Type 1 NPI

Gerald Lee Baccus

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1073229001 Active

Practice location

2400 W Stroop Rd
Dayton, OH 45439-2041

Call (614) 634-0195 Map

Mailing address

PO Box 10232
Dayton, OH 45402-7232

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X183243 (OH)

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

26 other providers at this address

Other addiction (substance use disorder) counselor providers in Dayton

See all in Dayton →

About NPI 1073229001

Gerald Lee Baccus's National Provider Identifier is 1073229001, issued on Jan 24, 2023. 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 Sep 15, 2025.