Individual
GABRIELLE MICHELLE FLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 753-9964
Mailing address
25 WHITNEY DR, MILFORD, OH 45150-8402
(513) 753-9964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
163781
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19142094699
HEALTHCARE VENTURE LLC
OH
Enumeration date
01/24/2018
Last updated
01/24/2018
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