Individual
MR. DARREN EISENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1910 SAINT JOE CENTER RD STE 23, FORT WAYNE, IN 46825-5000
(260) 484-5599
Mailing address
9711 PIONEER TRL, LEO, IN 46765-9692
(765) 490-5440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39003411A
IN
Other
Enumeration date
09/04/2018
Last updated
08/31/2019
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