Individual provider · Type 1 NPI
Clancy J. Yeager, PCC-S, LICDC
Professional Counselor · Perrysburg, OH
NPI number
1780917617
Active
Practice location
27072 Carronade Dr., Suite A
Perrysburg, OH 43551
Fax (419) 872-0926
Mailing address
PO Box 29, Behavioral Connections
Bowling Green, OH 43402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 954391 (OH) |
| Professional Counselor Primary | 101YP2500X | E.0006531 (OH) |
Professional Counselor: Definition to come...
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About NPI 1780917617
Clancy J. Yeager, PCC-S, LICDC's National Provider Identifier is 1780917617, issued on Sep 10, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Perrysburg, OH. The record was last updated on Sep 10, 2009.