Individual
JARROD WILLIAM GOZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612-1500
(740) 313-0569
Mailing address
1071 TONG HOLLOW RD, BAINBRIDGE, OH 45612-1500
(740) 313-0569
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA180959
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/19/2022
Last updated
11/09/2022
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