Individual
JAMES V PACIFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
732 BECKMAN ST, DAYTON, OH 45410-2165
(937) 253-1680
Mailing address
1291 KANE CT, XENIA, OH 45385-2517
(937) 603-2196
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175905
OH
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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