Individual
RICHARD MICHAEL EBERLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
509 E THOMAS ST, HAMMOND, LA 70401-3321
(985) 634-7594
Mailing address
509 E THOMAS ST, HAMMOND, LA 70401-3321
(985) 634-7594
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5544
LA
101YM0800X
Mental Health Counselor
5544
LA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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