Provider Information for 1851572028
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STEVEN D GIFFORD LPCC, LICDC-CS
Sex: Male
NPI: 1851572028
Last Updated: 2023-10-18
Certification Date: 2023-10-18
Certification Date: 2023-10-18
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1851572028 | ||||||||||||
| Enumeration Date | 2007-11-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 634 FAIRMONT AVE ZANESVILLE, OH 43701-2422 United States Phone: 740-408-4732 | Fax: | ||||||||||||
| Primary Practice Address | 634 FAIRMONT AVE ZANESVILLE, OH 43701-2422 United States Phone: 740-408-7324 | Fax: | ||||||||||||
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