Individual
SHAUN GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
3461 CROSS RD, WINCHESTER, OH 45697-9477
(937) 544-4020
(937) 544-4009
Mailing address
3461 CROSS RD, WINCHESTER, OH 45697-9477
(937) 544-4020
(937) 544-4009
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
177075
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177075
SUBSTANCE ABUSE
OH
Enumeration date
01/12/2022
Last updated
01/12/2022
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