| Mr Charles William Eastlick, LICDC, LPC, MED | |
|
5108 Sandy Ln, Fairfield, OH 45014-2738 | |
| (513) 834-7063 | |
| Not Available |
| Full Name | Mr Charles William Eastlick |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5108 Sandy Ln, Fairfield, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982735189 | NPI | - | NPPES |
| 310734113 | Other | OH | TAX I.D. |
| MC0713 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C.0005142-SUPV (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.001351 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles William Eastlick, LICDC, LPC, MED 446 Morgan St, Cincinnati, OH 45206-2348 Ph: (513) 834-7063 | Mr Charles William Eastlick, LICDC, LPC, MED 5108 Sandy Ln, Fairfield, OH 45014-2738 Ph: (513) 834-7063 |
Ms. Jessica Caras, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 888-830-0347 | |
Katrina Kanigoski, LCDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 5108 Sandy Ln, Fairfield, OH 45014 Phone: 513-834-7063 | |
John A Roflow, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd, Suite 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310 | |
Ms. Sara Morgan Pickett, MA, MED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310 | |
Stephanie Ann Glacking, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5108 Sandy Ln, Fairfield, OH 45014 Phone: 513-834-7063 | |
Tracy Susan Mert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd, Suite 5, Fairfield, OH 45014 Phone: 513-939-0300 Fax: 513-939-0310 | |
Rebecca Swartzendruber, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1251 Nilles Rd Ste 5, Fairfield, OH 45014 Phone: 513-939-0300 |