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Organization
BUCKEYE COUNSELING
Active
Organization
BUCKEYE COUNSELING
Active
Parent organization
FAIRFIELD COUNSELING CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAIRFIELD COUNSELING CENTER
Authorized official
MRS. ELIZABETH RENAE CHALFANT AA/CDCA (EXECUTIVE ASSISTANT)
(740) 689-1890
Entity
Organization
Contact information
Practice address
117 W MAIN ST, SUITE 107, LANCASTER, OH 43130
(740) 689-1890
(740) 689-0451
Mailing address
117 W MAIN ST, SUITE 107, LANCASTER, OH 43130
(740) 689-1890
(740) 689-0451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
S.0018342
OH
251S00000X
Community/Behavioral Health Agency
S.0018342
OH
252Y00000X
Early Intervention Provider Agency
Primary
S.0018342
OH
Other
Enumeration date
05/11/2012
Last updated
01/08/2013
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