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Individual

ERIN M BEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCDC III

Contact information

Practice address
1001 S CENTER ST, SPRINGFIELD, OH 45506-2603
(937) 717-5908
Mailing address
1001 S CENTER ST, SPRINGFIELD, OH 45506-2603
(937) 717-5908

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
161975
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093214496
OH
Enumeration date
02/12/2018
Last updated
05/21/2021
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