Individual provider · Type 1 NPI
Theodor Michael Eiben
Mental Health Counselor · Lakewood, OH
NPI number
1700442589
Active
Practice location
1662 Mars Ave # 103
Lakewood, OH 44107-3825
Mailing address
1662 Mars Ave
Lakewood, OH 44107-3825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | C.2002702 (OH) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1700442589
Theodor Michael Eiben's National Provider Identifier is 1700442589, issued on May 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lakewood, OH. The record was last updated on Jun 12, 2020.