CHARLES WILLIAM EASTLICK

FAIRFIELD, OH
NPI1982735189
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  LICDC.001351)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: OH  C.0005142-SUPV)
Enumeration Date2007-03-08
Last Update Date2019-07-22
Business Address
Mr. CHARLES WILLIAM EASTLICK LICDC, LPC, M.ED.
5108 SANDY LN
FAIRFIELD, OH 45014-2738
Phone number: 513-834-7063
Mailing Address
Mr. CHARLES WILLIAM EASTLICK LICDC, LPC, M.ED.
446 MORGAN ST
CINCINNATI, OH 45206-2348
Phone number: 513-834-7063