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Eddie D Slade, CDCA
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1396225314

Eddie D Slade is an Addiction (Substance Use Disorder) Counselor based in Mansfield, OH and is specialized in Addiction (Substance Use Disorder). Eddie D Slade practices in Mansfield, OH and has the professional credentials of CDCA. The NPI Number for Eddie D Slade is 1396225314 and holds a License No. CDCA.167866 (Ohio).

The current practice location address for Eddie D Slade is 680 Park Ave W, Mansfield, OH and can be reached out via phone at 419-528-5993 and via fax at 567-560-5486.

Location: 680 Park Ave W, Mansfield, OH, 44906-3706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396225314
Provider Name
Eddie D Slade
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
680 Park Ave W, Mansfield, OH, 44906-3706
Phone Number
419-528-5993
Fax Number
567-560-5486
Provider Enumeration Date
08/20/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
680 Park Ave W
City
Mansfield
State
Ohio
Zip
44906-3706
Phone Number
419-528-5993
Fax Number
567-560-5486
person
Provider Business Mailing Address Details
Address
680 Park Ave W
City
Mansfield
State
Ohio
Zip
44906-3706
Phone Number
419-528-5993
Fax Number
567-560-5486
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CDCA.167866 (Ohio)
Definition
Definition to come...
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