Individual
CHARLES GORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
1007 N 2ND ST, IRONTON, OH 45638-1235
(937) 712-3121
Mailing address
1007 N 2ND ST, IRONTON, OH 45638-1235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
051010
OH
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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