Organization · Type 2 NPI
Legacy Boomers Drill and Drum Corps
Mental Health Counselor · Dayton, OH
NPI number
1174482590
Active
Practice location
86 Pomeroy Ave
Dayton, OH 45417-8638
Fax (937) 641-9255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1174482590
Legacy Boomers Drill and Drum Corps's National Provider Identifier is 1174482590, issued on Jan 21, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dayton, OH. The record was last updated on Jan 21, 2026.