Individual
HUSANI G.A. BAGAMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Mailing address
601 S EDWIN C MOSES BLVD, SAMARITAN BEHAVIORAL HEALTH, INC., DAYTON, OH 45417-3424
(937) 734-8333
(937) 734-4343
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.0002407
OH
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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