Individual
GREGORY JOHN WIGHTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.C. SUPV.
Contact information
Practice address
2611 WAYNE AVE, BUILDING #66, DAYTON, OH 45420-1833
(937) 258-0440
(937) 258-6235
Mailing address
30 E BROAD ST, 11TH FLOOR, COLUMBUS, OH 43215-3414
(614) 466-6583
(614) 995-3268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E0000394 SUPV
OH
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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