Individual
DAVID J EICHHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, CSAC
Contact information
Practice address
1811 WEIR DR STE 270, WOODBURY, MN 55125-6741
(651) 714-9646
Mailing address
4857 SHARON LN, WHITE BEAR LAKE, MN 55110-2922
(651) 271-8530
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301300
MN
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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