Organization
INNOVATIVE COUNSELING SERVICES, INC
Active
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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