Individual
JAMES GONNELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICDC, GAMB, LSW
Contact information
Practice address
6539 MOSES RD, WEST ALEXANDRIA, OH 45381-8582
(937) 461-5223
(937) 461-7010
Mailing address
6539 MOSES RD, WEST ALEXANDRIA, OH 45381-8582
(937) 461-5223
(937) 461-7010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
S.1201491
OH
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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