| Family Life Counseling & Psychiatric Services | |
|
151 Marion Ave Mansfield OH 44903-2223 | |
| (419) 774-9969 | |
| (419) 756-5642 |
| Full Name | Family Life Counseling & Psychiatric Services |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 151 Marion Ave, Mansfield, Ohio |
| Authorized Official Name and Position | John Cochran (CFO) |
| Authorized Official Contact | 4197749969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Counseling & Psychiatric Services 151 Marion Ave Mansfield OH 44903-2223 Ph: (419) 774-9969 | Family Life Counseling & Psychiatric Services 151 Marion Ave Mansfield OH 44903-2223 Ph: (419) 774-9969 |
| NPI Number | 1669731246 |
|---|---|
| Provider Enumeration Date | 05/16/2012 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669731246 | NPI | - | NPPES |
| 2864575 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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