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Michael Eisenhauer
Mental Health Counselor in San Diego, California
NPI 1780137133

Michael Eisenhauer is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Michael Eisenhauer practices in San Diego, CA. The NPI Number for Michael Eisenhauer is 1780137133 and holds a License No. LPCC4648 (California).

The current practice location address for Michael Eisenhauer is 5555 Reservoir Dr Ste 309, San Diego, CA and can be reached out via phone at 888-588-8995.

Location: 5555 Reservoir Dr Ste 309, San Diego, CA, 92120-5193
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780137133
Provider Name
Michael Eisenhauer
Credential
Provider Entity Type
Individual
Gender
Male
Address
5555 Reservoir Dr Ste 309, San Diego, CA, 92120-5193
Phone Number
888-588-8995
Fax Number
Provider Enumeration Date
08/02/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5555 Reservoir Dr Ste 309
City
San Diego
State
California
Zip
92120-5193
Phone Number
888-588-8995
Fax Number
person
Provider Business Mailing Address Details
Address
5555 Reservoir Dr Ste 309
City
San Diego
State
California
Zip
92120-5193
Phone Number
888-588-8995
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
0701006573 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
LPCC4648 (California)
Definition
Definition to come...
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