person
Mr. Dwight Eisenman
Professional Counselor in Kansas City, Missouri
NPI 1447690441

Dwight Eisenman is a Professional Counselor based in Lees Summit, MO and is specialized in Professional. Dwight Eisenman practices in Kansas City, MO. The NPI Number for Dwight Eisenman is 1447690441 and holds a License No. 2023006572 (Missouri).

The current practice location address for Dwight Eisenman is 3211 Woodland Ave, Kansas City, MO and can be reached out via phone at 816-966-0900 and via fax at 816-554-4370.

Location: 3211 Woodland Ave, Kansas City, MO, 64086-5849
person
Provider Profile Details
NPI Number
1447690441
Provider Name
Dwight Eisenman
Credential
Provider Entity Type
Individual
Gender
Male
Address
3211 Woodland Ave, Kansas City, MO, 64086-5849
Phone Number
816-966-0900
Fax Number
816-554-4370
Provider Enumeration Date
07/05/2013
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
3211 Woodland Ave
City
State
Zip
64109-2073
Phone Number
816-966-0900
Fax Number
816-554-4370
person
Provider Business Mailing Address Details
Address
3211 Woodland Ave
City
State
Zip
64109-2073
Phone Number
816-966-0900
Fax Number
816-554-4370
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
MH12117 (Florida)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2023006572 (Missouri)
Definition
Definition to come...
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