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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