person
Gerald Lee Baccus
Addiction (Substance Use Disorder) Counselor in Dayton, Ohio
NPI 1073229001

Gerald Lee Baccus is an Addiction (Substance Use Disorder) Counselor based in Dayton, OH and is specialized in Addiction (Substance Use Disorder). Gerald Lee Baccus practices in Dayton, OH. The NPI Number for Gerald Lee Baccus is 1073229001 and holds a License No. 183243 (Ohio).

The current practice location address for Gerald Lee Baccus is 2400 W Stroop Rd, Dayton, OH and can be reached out via phone at 614-634-0195.

Location: 2400 W Stroop Rd, Dayton, OH, 45402
person
Provider Profile Details
NPI Number
1073229001
Provider Name
Gerald Lee Baccus
Credential
Provider Entity Type
Individual
Gender
Male
Address
2400 W Stroop Rd, Dayton, OH, 45402
Phone Number
614-634-0195
Fax Number
Provider Enumeration Date
01/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2400 W Stroop Rd
City
State
Zip
45439-2041
Phone Number
614-634-0195
Fax Number
person
Provider Business Mailing Address Details
Address
2400 W Stroop Rd
City
State
Zip
45439-2041
Phone Number
614-634-0195
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
183243 (Ohio)
Definition
Definition to come...
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