Individual provider · Type 1 NPI

Gary Disalle, CDCA

Addiction (Substance Use Disorder) Counselor · Warren, OH

NPI number 1669959110 Active

Practice location

1212 Tod Pl NW
Warren, OH 44485-2475

Fax (330) 294-5641

Mailing address

PO Box 1212
Warren, OH 44482-1212

Other practice locations

  • 2430 Parkman Rd NW, Warren, OH 44485-1777 · (330) 469-6822

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X165707 (OH)

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

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About NPI 1669959110

Gary Disalle, CDCA's National Provider Identifier is 1669959110, issued on Jul 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Warren, OH. The record was last updated on Jul 25, 2023.