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NPI Code Detail

MEDICARE: ERIK B BUSKARD LPCC

MEDICARE:   ERIK B BUSKARD  LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC.1500458OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2C.1500458OTHEROHSTATE OF OHIO BOARD OF COUNSELING AND SOCIAL WORK

General Provider Information

NPI Number : 1790229086
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIK B BUSKARD LPCC
Provider Business Mailing Address
First Line : PO BOX 933421
Second Line :
City : CLEVELAND
State : OH
Zip : 44193-0039
Country : US
Telephone Number : 937-641-5072
Fax Number : 937-641-6129
Provider Business Practice Location Address
First Line : 1816 HARVARD BLVD
Second Line : STE. 202
City : DAYTON
State : OH
Zip : 45404
Country : US
Telephone Number : 937-641-3401
Fax Number : 937-641-3046
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2016
Last Update Date : 10/30/2025

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Directions to “ ERIK B BUSKARD LPCC” Practice Location

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