Individual provider · Type 1 NPI

Brack Goolsby

Addiction (Substance Use Disorder) Counselor · Athens, OH

NPI number 1629555388 Active

Practice location

11 Graham Dr
Athens, OH 45701-1430

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1629555388

Brack Goolsby's National Provider Identifier is 1629555388, issued on Jul 25, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Athens, OH. The record was last updated on Jul 25, 2018.