Individual
JUSTIN CARBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
376 REGENCY RIDGE DR, DAYTON, OH 45459-4251
(937) 280-6550
Mailing address
376 REGENCY RIDGE DR, DAYTON, OH 45459-4251
(937) 280-6550
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2506772
OH
Other
Enumeration date
02/22/2016
Last updated
04/11/2025
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