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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES WILLIAM EASTLICK, LICDC, LPC, M.ED.

Active

MR. CHARLES WILLIAM EASTLICK, LICDC, LPC, M.ED. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FAIRFIELD, Ohio. NPI 1982735189 is currently active in the NPPES registry. Verify at CMS.

Addiction (Substance Use Disorder) Counselor · FAIRFIELD, OH

Registration Details

NPI Number
1982735189
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2007 (19.403077674662 yrs)
Last Updated
Jul 22, 2019
Licenses
C.0005142-SUPV (OH)
LICDC.001351 (OH)

Practice Information

Address
5108 SANDY LN
FAIRFIELD, OH, 450142738
Browse OH providers · Browse ZIP 45014
Phone
5138347063

Other Addiction (Substance Use Disorder) Counselor Providers in FAIRFIELD, OH

Name Credential NPI
JOY HARRIS LICDC 1629456942
SAMANTHA STANT RN, CDCA 1972976058
KAMILAH MATHIEU 1598114803
KATRINA KANIGOSKI LCDCII 1013469931
SUSAN GIARDINA LCDCIII 1750828828
AMY PARKER I CDCA 1558899195
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.