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Organization
DEANN GOSSARD LLC
Active
Organization
DEANN GOSSARD LLC
Active
Other names
Fuse Trauma Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
DEANN GOSSARD LPCC, LICDC (OWNER)
(419) 277-5816
Entity
Organization
Contact information
Practice address
2592 WOODVILLE RD, NORTHWOOD, OH 43619-1444
(419) 315-6422
(833) 381-0977
Mailing address
2592 WOODVILLE RD, NORTHWOOD, OH 43619-1444
(419) 315-6422
(833) 381-0977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
09/21/2020
Last updated
08/02/2024
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