Individual
JAY GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICDC, SAP
Contact information
Practice address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Mailing address
1059 N MARKET ST, TROY, OH 45373-1433
(937) 335-4543
(937) 339-8371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
933736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2901051
—
OH
Enumeration date
07/11/2012
Last updated
07/11/2012
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