MR. Charles William Eastlick, LICDC, LPC, M.ED.

NPI #1982735189 in Fairfield, Ohio

Provider Information

NPI Number: 1982735189
Entity Type: Individual
Name: MR. Charles William Eastlick, LICDC, LPC, M.ED.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LICDC, LPC, M.ED.
Enumeration Date: Mar 8, 2007
Last Updated: Jul 22, 2019

Practice Location

Address: 5108 SANDY LN
City: Fairfield
State: Ohio
ZIP Code: 45014-2738
Phone: (513) 834-7063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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