Individual provider · Type 1 NPI

Thomas Ryan Gogolin, CDCA

Addiction (Substance Use Disorder) Counselor · Reynoldsburg, OH

NPI number 1639631617 Active

Practice location

1649 Brice Rd
Reynoldsburg, OH 43068-2758

Other practice locations

  • 7086 Crown Lake Dr Apt 207, Reynoldsburg, OH 43068-7513 · (614) 519-0739
  • 680 Park Ave W, Mansfield, OH 44906-3706 · (419) 528-5993

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCII.161660 (OH)
Mental Health Counselor 101YM0800XC.2204415 (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162176 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XCDCA.170438 (OH)

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

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About NPI 1639631617

Thomas Ryan Gogolin, CDCA's National Provider Identifier is 1639631617, issued on Apr 1, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reynoldsburg, OH. The record was last updated on Nov 8, 2022.