# DEANN GOSSARD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fuse Trauma Recovery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265048532
- **Authorized official:** DEANN GOSSARD LPCC, LICDC (OWNER)
- **Authorized official phone:** (419) 277-5816

## Contact information

- **Practice address:** 2592 WOODVILLE RD, NORTHWOOD, OH 43619-1444
- **Practice address phone:** (419) 315-6422
- **Practice address fax:** (833) 381-0977
- **Mailing address:** 2592 WOODVILLE RD, NORTHWOOD, OH 43619-1444
- **Mailing address phone:** (419) 315-6422
- **Mailing address fax:** (833) 381-0977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 09/21/2020
- **Last updated:** 08/02/2024