| Doctor Name: | GARY T BAUGHMAN |
| NPI Number: | 1063572089 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPCC |
| License Number: | E.0003661 |
| Business Practice Address: | 17747 Chillicothe Rd Suite 202 Chagrin Falls, OH - 440234739 |
| Business Phone Number: | 4405438880 |
| Business Fax Number: | 4405435911 |
| Mailing Address: | 17747 Chillicothe Rd, Suite 202 CHAGRIN FALLS |
| State: | OH |
| Postal Code: | 440234739 |
| Phone Number: | 4405438880 |
| Fax Number: | 4405435911 |
| NPI Enumeration Date: | 12/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E.0003661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |