Individual provider · Type 1 NPI

Gillyan Baccus

Addiction (Substance Use Disorder) Counselor · Dayton, OH

NPI number 1891343885 Active

Practice location

4124 Linden Ave
Dayton, OH 45432-3018

Call (937) 522-0961 Map

Mailing address

4309 Pimlico Pl
Huber Heights, OH 45424-3883

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.169595 (OH)

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

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About NPI 1891343885

Gillyan Baccus's National Provider Identifier is 1891343885, issued on Sep 3, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dayton, OH. The record was last updated on Sep 3, 2019.