Individual
GAVIN NOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
50 W TECHNE CENTER DR, MILFORD, OH 45150-8403
(513) 753-9964
(513) 753-9968
Mailing address
4575 STATE ROUTE 124, LYNCHBURG, OH 45142-9374
(937) 509-1609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140763
OH
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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