| Doctor Name: | MRS. GAIL DIANNE CHMIELEWSKI |
| NPI Number: | 1750366258 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PCC, LICDC |
| License Number: | 965591 |
| Business Practice Address: | 1615 S. Alex Rd. Suite A West Carrollton, OH - 454491449 |
| Business Phone Number: | 9378661428 |
| Business Fax Number: | 9378661428 |
| Mailing Address: | 38 N Walnut St, WEST CARROLLTON |
| State: | OH |
| Postal Code: | 454491449 |
| Phone Number: | 9378661428 |
| Fax Number: | 9378661428 |
| NPI Enumeration Date: | 12/07/2005 |
| NPI Last Update Date: | 07/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 965591 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |