Individual
DONALD JOSEPH GAUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC-CS
Contact information
Practice address
830 EZZARD CHARLES DR, CINCINNATI, OH 45214-2525
(513) 381-6672
(513) 381-6672
Mailing address
2622 MORROW PL, CINCINNATI, OH 45204-2405
(513) 768-2942
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
954218
OH
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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