Individual
BARRY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 SUPERIOR ST, SANDUSKY, OH 44870-1849
(419) 626-5623
Mailing address
420 SUPERIOR ST, SANDUSKY, OH 44870-1849
(419) 626-5623
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.182947
OH
175T00000X
Peer Specialist
Primary
0001470
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0137075
—
OH
Enumeration date
09/16/2019
Last updated
03/25/2026
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