Individual provider · Type 1 NPI

Jerry Vankirk, CDCA

Addiction (Substance Use Disorder) Counselor · Gallipolis, OH

NPI number 1407637515 Active

Practice location

1134 Jackson Pike
Gallipolis, OH 45631-2600

Call (740) 446-9129 Map

Fax (740) 446-9021

Mailing address

1086 Jackson Pike
Gallipolis, OH 45631-1396

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.186114 (OH)

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

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About NPI 1407637515

Jerry Vankirk, CDCA's National Provider Identifier is 1407637515, issued on Oct 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gallipolis, OH. The record was last updated on Oct 13, 2023.