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Joseph Goracke

Counselor, Addiction (Substance Use Disorder) in Shelby, OH. Individual provider (NPI-1).

NPI number1962027474
StatusActive
Last updated in NPPESJun 10, 2020

Details

NPI
1962027474
Entity type
Individual (NPI-1)
Name
Joseph Goracke
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 10, 2020
Certification date
Jun 10, 2020
Last updated
Jun 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)CDCA.173747OHYes

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Phone 419-747-3322

Mailing address

1778 Cranberry Ct
Mansfield, OH 44905-2362

Phone 419-566-4542

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