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Individual

PAMELA SUE EISENREICH

Active
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Individual

PAMELA SUE EISENREICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, LCPC

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2006009233
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1851150783
GROUP NPI
MO
Enumeration date
08/16/2011
Last updated
04/05/2024
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