National Provider Identifier
John D Eichenberger, L.M.H.C., C.A.S.A.C.
John D Eichenberger, L.M.H.C., C.A.S.A.C. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Fairport, NY and a listed phone number of (585) 425-2840.
Profile Overview
- NPI
- 1093187288
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- October 27, 2015
- Last Updated
- October 27, 2015
Practice Location
- 625 Cross Keys Office Park
- Building 600 Suite 625
- Fairport, NY 14450-3508
Phone: (585) 425-2840
Specialties
- Mental Health Counselor (101YM0800X)
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1093187288
- Entity Type
- Individual
- Last Name
- Eichenberger
- First Name
- John
- Middle Name
- D
- Credential
- L.M.H.C., C.A.S.A.C.
- Mailing Street Address
- 625 Cross Keys Office Park
- Mailing Address Line 2
- Building 600 Suite 625
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-3508
- Mailing Country
- US
- Mailing Phone
- (585) 425-2840
- Mailing Fax
- (585) 425-2196
- Practice Street Address
- 625 Cross Keys Office Park
- Practice Address Line 2
- Building 600 Suite 625
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-3508
- Practice Country
- US
- Practice Phone
- (585) 425-2840
- Practice Fax
- (585) 425-2196
- Enumeration Date
- October 27, 2015
- Last Updated
- October 27, 2015
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X), Addiction (Substance Use Disorder) Counselor (101YA0400X)