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Individual

MICHAEL JAMES GACNIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPCC

Contact information

Practice address
649 MAIN ST STE C, GROVEPORT, OH 43125-1420
(614) 916-7005
(614) 916-3055
Mailing address
649 MAIN ST STE C, GROVEPORT, OH 43125-1420
(161) 491-6700
(614) 916-3055

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1800668
OH
101YM0800X
Mental Health Counselor
C0077084
OH

Other

Enumeration date
11/16/2017
Last updated
06/11/2024
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