Doctor Name: | DAVID DAGG |
NPI Number: | 1326139429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PCC |
License Number: | E3699 |
Business Practice Address: | 4773 Carroll Cemetery Rd Carroll, OH - 431129428 |
Business Phone Number: | 6145683244 |
Business Fax Number: | 7404221548 |
Mailing Address: | 4773 Carroll Cemetery Rd, CARROLL |
State: | OH |
Postal Code: | 431129428 |
Phone Number: | 6145683244 |
Fax Number: | 7404221548 |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E3699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |