Doctor Name: | ERIC CECYS |
NPI Number: | 1326405192 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CDCA-P |
License Number: | |
Business Practice Address: | 228 N Barron St Eaton, OH - 453201704 |
Business Phone Number: | 9374567694 |
Business Fax Number: | 9374567753 |
Mailing Address: | 228 N Barron St, EATON |
State: | OH |
Postal Code: | 453201704 |
Phone Number: | 9374567694 |
Fax Number: | 9374567753 |
NPI Enumeration Date: | 01/25/2016 |
NPI Last Update Date: | 01/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |