Individual
GREGORY S ROESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7540 NEW WEST RD, TOLEDO, OH 43617-4200
(419) 901-3176
Mailing address
7540 NEW WEST RD, TOLEDO, OH 43617-4200
(419) 901-3176
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
100225
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-3522511
—
OH
Enumeration date
06/13/2018
Last updated
06/13/2018
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