Individual
CLANCY J. YEAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC-S, LICDC
Contact information
Practice address
27072 CARRONADE DR., SUITE A, PERRYSBURG, OH 43551
(419) 872-2419
(419) 872-0926
Mailing address
PO BOX 29, BEHAVIORAL CONNECTIONS, BOWLING GREEN, OH 43402
(419) 872-2419
(419) 872-0926
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
954391
OH
101YP2500X
Professional Counselor
Primary
E.0006531
OH
Other
Enumeration date
09/10/2009
Last updated
09/10/2009
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