Organization
FAMILY LIFE COUNSELING & PSYCHIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN B BURGGRAF PHD, LPCCE, 1MFT (EXECUTIVE DIRECTOR)
(419) 774-9969
Entity
Organization
Contact information
Practice address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
(419) 756-5781
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
(419) 774-9969
(419) 756-5781
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10440
OH
101YM0800X
Mental Health Counselor
Primary
0405
OH
Other
Enumeration date
09/20/2006
Last updated
07/16/2008
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