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Individual
CORINNE EISENHARDT
Active
Individual
CORINNE EISENHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0017294
CO
101YM0800X
Mental Health Counselor
Primary
4467
CA
101YM0800X
Mental Health Counselor
6401013640
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017294
STATE LICENSING BOARD
CO
01
—
4467
LICENSE PROFESSIONAL CLINICAL COUNSELOR
CA
01
—
6401013640
LICENSED PROFESSIONAL COUNSELOR
MI
Enumeration date
09/23/2013
Last updated
03/03/2022
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