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Individual

JAMES EICKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCA, PRS

Contact information

Practice address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391
Mailing address
2065 STONERIDGE DR, CIRCLEVILLE, OH 43113-8956
(740) 500-1391

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.176157
OH
175T00000X
Peer Specialist

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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