Individual
LAUREN MARIE EISENBRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCC
Contact information
Practice address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 424-5686
Mailing address
7880 LINCOLE PL, LISBON, OH 44432-8322
(330) 424-5686
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
E.1200008
OH
101YM0800X
Mental Health Counselor
Primary
E.1200008
OH
Other
Enumeration date
08/29/2012
Last updated
08/13/2013
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