Individual
GWENDOLYN COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5600 MONROE ST STE B207, SYLVANIA, OH 43560-2728
(567) 408-2500
Mailing address
5600 MONROE ST STE B207, SYLVANIA, OH 43560-2728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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