Gregory John Wightman L.P.C.C. SUPV.

NPI 1073672275 - Counselor - 101Y00000X

NPI Details
NPI 1073672275
Gender Male
Enumeration Date 12/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2611 WAYNE AVE
BUILDING #66
DAYTON OH, 45420-1833, US
Phone (937) 258-0440
Fax (937) 258-6235
Business Location
30 E BROAD ST
11TH FLOOR
COLUMBUS OH, 43215-3414, US
Phone (614) 466-6583
Fax (614) 995-3268
Toxanomy
Taxonomy Code 101Y00000X
License State Ohio
License Number E0000394 SUPV
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According to our database, Gregory John Wightman L.P.C.C. SUPV. NPI is 1073672275, taxonomy code is 101Y00000X and license number is E0000394 SUPV, license state is located at Ohio. Gregory John Wightman L.P.C.C. SUPV. physically located at 2611 Wayne Ave, Dayton OH, 45420-1833. NPI Number Gregory John Wightman L.P.C.C. SUPV. has the Individual type.

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1073672275 NPI number is provided on an as is basis without warranty of any kind. 1073672275 is maintained by the National Plan & Provider Enumeration System. The contents of Gregory John Wightman L.P.C.C. SUPV. are for informational purposes only.