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Theodor Michael Eiben
Mental Health Counselor in Lakewood, Ohio
NPI 1700442589

Theodor Michael Eiben is a Mental Health Counselor based in Lakewood, OH and is specialized in Mental Health. Theodor Michael Eiben practices in Lakewood, OH. The NPI Number for Theodor Michael Eiben is 1700442589 and holds a License No. C.2002702 (Ohio).

The current practice location address for Theodor Michael Eiben is 1662 Mars Ave # 103, Lakewood, OH and can be reached out via phone at 216-282-3838.

Location: 1662 Mars Ave # 103, Lakewood, OH, 44107-3825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700442589
Provider Name
Theodor Michael Eiben
Credential
Provider Entity Type
Individual
Gender
Male
Address
1662 Mars Ave # 103, Lakewood, OH, 44107-3825
Phone Number
216-282-3838
Fax Number
Provider Enumeration Date
05/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1662 Mars Ave # 103
City
Lakewood
State
Ohio
Zip
44107-3825
Phone Number
216-282-3838
Fax Number
person
Provider Business Mailing Address Details
Address
1662 Mars Ave # 103
City
Lakewood
State
Ohio
Zip
44107-3825
Phone Number
216-282-3838
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C.2002702 (Ohio)
Definition
Definition to come...
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