Provider Demographics
NPI:1124794698
Name:FUCHS, CHARLOTTE ANN (LPCC-S)
Entity type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:ANN
Last Name:FUCHS
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:458 COUNTY HIGHWAY 3
Mailing Address - Street 2:
Mailing Address - City:RAYLAND
Mailing Address - State:OH
Mailing Address - Zip Code:43943-7853
Mailing Address - Country:US
Mailing Address - Phone:740-317-1994
Mailing Address - Fax:
Practice Address - Street 1:458 COUNTY HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:RAYLAND
Practice Address - State:OH
Practice Address - Zip Code:43943-7853
Practice Address - Country:US
Practice Address - Phone:740-317-1994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1200002101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health