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Gregory John Wightman, LPCCSUPV
Counselor in Dayton, Ohio
NPI 1073672275

Gregory John Wightman is a Counselor based in Columbus, OH. Gregory John Wightman practices in Dayton, OH and has the professional credentials of LPCCSUPV. The NPI Number for Gregory John Wightman is 1073672275 and holds a License No. E0000394 SUPV (Ohio).

The current practice location address for Gregory John Wightman is 2611 Wayne Ave, Dayton, OH and can be reached out via phone at 937-258-0440 and via fax at 937-258-6235.

Location: 2611 Wayne Ave, Dayton, OH, 43215-3414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073672275
Provider Name
Gregory John Wightman
Credential
LPCCSUPV
Provider Entity Type
Individual
Gender
Male
Address
2611 Wayne Ave, Dayton, OH, 43215-3414
Phone Number
937-258-0440
Fax Number
937-258-6235
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2611 Wayne Ave
City
Dayton
State
Ohio
Zip
45420-1833
Phone Number
937-258-0440
Fax Number
937-258-6235
person
Provider Business Mailing Address Details
Address
2611 Wayne Ave
City
Dayton
State
Ohio
Zip
45420-1833
Phone Number
937-258-0440
Fax Number
937-258-6235
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
E0000394 SUPV (Ohio)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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