Individual provider · Type 1 NPI

John D. Eichenberger, L.M.H.C., C.A.S.A.C.

Mental Health Counselor · Fairport, NY

NPI number 1093187288 Active

Practice location

625 Cross Keys Office Park, Building 600 Suite 625
Fairport, NY 14450-3508

Call (585) 425-2840 Map

Fax (585) 425-2196

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17971 (NY)
Mental Health Counselor Primary 101YM0800X006328 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1093187288

John D. Eichenberger, L.M.H.C., C.A.S.A.C.'s National Provider Identifier is 1093187288, issued on Oct 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairport, NY. The record was last updated on Oct 27, 2015.