Individual provider · Type 1 NPI

Bethany Eisen

Addiction (Substance Use Disorder) Counselor · Richmond, MI

NPI number 1114356847 Active

Practice location

400 Stoddard Rd
Richmond, MI 48062-2505

Mailing address

1450 River Rd, Unit 17
St. Clair, MI 48079-2809

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XE250085603037 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114356847

Bethany Eisen's National Provider Identifier is 1114356847, issued on Nov 4, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, MI. The record was last updated on Nov 4, 2013.