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NPI Code Detail

MEDICARE: GERALD JAMES BESS II CDCA

MEDICARE: GERALD JAMES BESS II CDCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorLCDCIII.162942OH

General Provider Information

NPI Number : 1730858937
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALD JAMES BESS II CDCA
Provider Business Mailing Address
First Line : 5563 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2225
Country : US
Telephone Number : 937-291-2300
Fax Number : 937-291-2303
Provider Business Practice Location Address
First Line : 5563 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2225
Country : US
Telephone Number : 937-291-2300
Fax Number : 937-291-2300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2021
Last Update Date : 02/23/2026

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Directions to “ GERALD JAMES BESS II CDCA” Practice Location

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