Individual provider · Type 1 NPI

Gregory John Wightman, L.P.C.C. SUPV.

Counselor · Dayton, OH

NPI number 1073672275 Active

Practice location

2611 Wayne Ave, Building #66
Dayton, OH 45420-1833

Call (937) 258-0440 Map

Fax (937) 258-6235

Mailing address

30 E Broad St, 11th Floor
Columbus, OH 43215-3414

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XE0000394 SUPV (OH)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1073672275

Gregory John Wightman, L.P.C.C. SUPV.'s National Provider Identifier is 1073672275, issued on Dec 6, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Dayton, OH. The record was last updated on Jul 8, 2007.