person
Jeffrey Allen Schurgast, LPCC-S,LICDC
Mental Health Counselor in Middletown, Ohio
NPI 1639563844

Jeffrey Allen Schurgast is a Mental Health Counselor based in Middletown, OH and is specialized in Mental Health. Jeffrey Allen Schurgast practices in Middletown, OH and has the professional credentials of LPCC-S,LICDC. The NPI Number for Jeffrey Allen Schurgast is 1639563844 and holds a License No. LICDC.141206 (Ohio).

The current practice location address for Jeffrey Allen Schurgast is 4464 S Dixie Hwy, Middletown, OH and can be reached out via phone at 513-649-8008 and via fax at 513-649-8004.

Location: 4464 S Dixie Hwy, Middletown, OH, 45005-5464
person
Provider Profile Details
NPI Number
1639563844
Provider Name
Jeffrey Allen Schurgast
Credential
LPCC-S,LICDC
Provider Entity Type
Individual
Gender
Male
Address
4464 S Dixie Hwy, Middletown, OH, 45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
Provider Enumeration Date
03/25/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0074861 01 OH MEDICAID LEGACY NUMBER CHEMICAL DEPENDENCY
0074946 01 OH MEDICAID LEGACY NUMBER MENTAL HEALTH
01-0693 01 OH CARF CERTIFICATION
H130910 01 OH MEDICARE GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
4464 S Dixie Hwy
City
State
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider Business Mailing Address Details
Address
4464 S Dixie Hwy
City
State
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
E.1100455.SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
E.1100455.SUPV (Ohio)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LICDC.141206 (Ohio)
Definition
Definition to come...
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