Individual
DR. ORVILLE LEWIS EACKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DCC
Contact information
Practice address
165 SMITH RD, GOUVERNEUR, NY 13642-3575
(315) 816-2883
Mailing address
165 SMITH RD, GOUVERNEUR, NY 13642-3575
(315) 816-2883
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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