Gary Disalle, CDCA
Counselor, Addiction (Substance Use Disorder) in Warren, OH. Individual provider (NPI-1).
NPI number1669959110
StatusActive
Last updated in NPPESJul 25, 2023
Details
- NPI
- 1669959110
- Entity type
- Individual (NPI-1)
- Name
- Gary Disalle
- Credential
- CDCA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2018
- Certification date
- Jul 25, 2023
- Last updated
- Jul 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 165707 | OH | Yes |
Practice location
1212 Tod Pl NwWarren, OH 44485-2475
Phone 330-469-6822 · Fax 330-294-5641
Mailing address
Po Box 1212Warren, OH 44482-1212
Phone 330-469-6822 · Fax 330-294-5641
Other practice locations
2430 Parkman Rd Nw
Warren, OH 44485-1777
Warren, OH 44485-1777
Phone 330-469-6822 · Fax 330-294-5641
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All 156 Addiction (Substance Use Disorder) Counselor providers in Warren · All 2,852 providers in Warren
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