Individual
BOBBY J GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Mailing address
517 3RD AVE, CHESAPEAKE, OH 45619-1036
(740) 451-1455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.180867
OH
175T00000X
Peer Specialist
APS.005766
OH
Other
Enumeration date
04/01/2021
Last updated
01/14/2025
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