Individual
DONALD R GOZDOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4747 MONROE ST, TOLEDO, OH 43623-4307
(419) 740-5709
Mailing address
3142 FRANKLIN AVE, TOLEDO, OH 43608-1758
(419) 244-9739
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176421
OH
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
172587
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455766
—
OH
Enumeration date
02/27/2020
Last updated
09/15/2021
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