Doctor Name: | MR. TODD B. FEASEL |
NPI Number: | 1124033840 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, PCC-S |
License Number: | E4356 |
Business Practice Address: | 7654 Slate Ridge Blvd Reynoldsburg, OH - 430682108 |
Business Phone Number: | 6146262696 |
Business Fax Number: | 8668204098 |
Mailing Address: | 7355 E Bryden Rd, REYNOLDSBURG |
State: | OH |
Postal Code: | 430682108 |
Phone Number: | 6149992685 |
Fax Number: | |
NPI Enumeration Date: | 07/30/2006 |
NPI Last Update Date: | 10/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | E4356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |