Individual
EILYNN PACIFICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LLPC, NCC
Contact information
Practice address
640 SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103-1603
(269) 471-5968
Mailing address
640 SAINT JOSEPH AVE, BERRIEN SPRINGS, MI 49103-1603
(269) 471-5968
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401017472
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
453971296
—
MI
Enumeration date
07/14/2021
Last updated
07/14/2021
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