Individual provider · Type 1 NPI

Charles William Eastlick, LICDC, LPC, M.ED.

Addiction (Substance Use Disorder) Counselor · Fairfield, OH

NPI number 1982735189 Active

Practice location

5108 Sandy Ln
Fairfield, OH 45014-2738

Mailing address

446 Morgan St
Cincinnati, OH 45206-2348

Other practice locations

  • 1659 S Breiel Blvd, Middletown, OH 45044-6705 · (513) 424-0921

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XC.0005142-SUPV (OH)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.001351 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982735189

Charles William Eastlick, LICDC, LPC, M.ED.'s National Provider Identifier is 1982735189, issued on Mar 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, OH. The record was last updated on Jul 22, 2019.