Individual
KIMBERLY EISEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA TF-CBT
Contact information
Practice address
37 W MAIN ST, BUCKHANNON, WV 26201-2235
(681) 331-5421
Mailing address
37 W MAIN ST, BUCKHANNON, WV 26201-2235
(681) 331-5421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306576947
—
WV
Enumeration date
06/15/2022
Last updated
01/09/2024
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