Individual provider · Type 1 NPI

Gary Wayne Ticey

Addiction (Substance Use Disorder) Counselor · Toledo, OH

NPI number 1184130288 Active

Practice location

6605 W Central Ave
Toledo, OH 43617-1000

Call (419) 841-7701 Map

Mailing address

2005 Ashland Ave
Toledo, OH 43620-1703

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000X165227 (OH)
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1184130288

Gary Wayne Ticey's National Provider Identifier is 1184130288, issued on Dec 27, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Toledo, OH. The record was last updated on Nov 3, 2023.