Individual
PER ORDAL EISENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 CATAMOUNT PARK, MIDDLEBURY, VT 05753-1397
(802) 388-6751
(802) 388-8183
Mailing address
89 MAIN ST, MIDDLEBURY, VT 05753-1483
(802) 388-6751
(802) 388-8183
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0680134620
VT
Other
Enumeration date
06/01/2022
Last updated
07/19/2022
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