Individual
MR. CHARLIE ROBERT VACHRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.I.S.W.
Contact information
Practice address
1570 FISHINGER RD, COLUMBUS, OH 43221-2114
(614) 823-7279
Mailing address
PO BOX 1526, DELAWARE, OH 43015-8526
(740) 362-9226
(740) 362-1750
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I7107
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000113308
ANTHEM
OH
01
—
203700
VALUE OPTIONS
OH
01
—
246652
COMPSYCH
OH
Enumeration date
07/18/2006
Last updated
07/08/2007
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