Individual
ERIC BUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LICDC
Contact information
Practice address
1680 NAVE RD SE, MASSILLON, OH 44646-9604
(330) 830-8740
(330) 830-0912
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC161972
OH
101YM0800X
Mental Health Counselor
Primary
C1901728
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0268091
—
OH
Enumeration date
03/08/2018
Last updated
02/19/2020
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