Individual
MR. JEREMY EICKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCDC
Contact information
Practice address
648 LAZY RIVER DR, PRINCETON, TX 75407-2917
(972) 533-7620
Mailing address
648 LAZY RIVER DR, PRINCETON, TX 75407-2917
(972) 533-7620
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
13876
TX
101YM0800X
Mental Health Counselor
Primary
79619
TX
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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