Individual
LAICEE EICHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADCII, QMHAI
Contact information
Practice address
1741 NEWMARK AVE, COOS BAY, OR 97420-4704
(541) 756-3111
Mailing address
1405 SPRUCE ST, MYRTLE POINT, OR 97458-1449
(971) 341-9264
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19-12-19
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
OR
Other
Enumeration date
11/23/2017
Last updated
12/16/2024
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