John D Eichenberger, L.M.H.C., C.A.S.A.C.

NPI #1093187288 in Fairport, New York

Provider Information

NPI Number: 1093187288
Entity Type: Individual
Name: John D Eichenberger, L.M.H.C., C.A.S.A.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: L.M.H.C., C.A.S.A.C.
Enumeration Date: Oct 27, 2015
Last Updated: Oct 27, 2015

Practice Location

Address: 625 CROSS KEYS OFFICE PARK
Address 2: BUILDING 600 SUITE 625
City: Fairport
State: New York
ZIP Code: 14450-3508
Phone: (585) 425-2840

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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