Organization
FAMILY LIFE COUNSELING & PSYCIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN BURGGRAF PHD, LPCCE, 1MFT (EXECUTIVE DIRECTOR)
(419) 774-9969
Entity
Organization
Contact information
Practice address
10 S CLAY ST, SUITE 101, MILLERSBURG, OH 44654-1329
(419) 774-9969
Mailing address
151 MARION AVE, MANSFIELD, OH 44903-2223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0405
OH
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/26/2013
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