Individual
MR. GARY R WEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC, LICDC
Contact information
Practice address
8479 S. MASON MONTGOMERY ROAD, MASON, OH 45040-4023
(513) 253-5638
(513) 725-1141
Mailing address
8479 S. MASON MONTGOMERY ROAD, MASON, OH 45040-4023
(513) 253-5638
(513) 725-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
954219
OH
101YP2500X
Professional Counselor
Primary
E.1600057
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0178432
—
OH
Enumeration date
11/08/2011
Last updated
01/03/2020
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