Organization
INNOVATIVE COUNSELING SERVICES, INC
Active
Other names
Cynthia M. Eisenbeis
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MARIE EISENBEIS MSW LCSW (PRESIDENT)
(314) 484-6198
Entity
Organization
Contact information
Practice address
1137 N MAIN ST, O FALLON, MO 63366-1217
(314) 484-6198
Mailing address
621 BULL VALLEY DR, SAINT PETERS, MO 63304-8544
(314) 484-6198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005040010
MO
Other
Enumeration date
05/30/2006
Last updated
08/22/2020
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