Individual
LAUREN EISLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, PLPC
Contact information
Practice address
601 W NIFONG BLVD STE 1E, COLUMBIA, MO 65203-6804
(573) 228-6702
Mailing address
601 W NIFONG BLVD STE 1E, COLUMBIA, MO 65203-6804
(573) 228-6702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2002005138
MO
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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