Individual
MR. DWIGHT EISENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3211 WOODLAND AVE, KANSAS CITY, MO 64109-2073
(816) 966-0900
(816) 554-4370
Mailing address
1555 NE RICE RD, LEES SUMMIT, MO 64086-5849
(816) 347-3069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2023006572
MO
101Y00000X
Counselor
MH12117
FL
101YP2500X
Professional Counselor
Primary
03669
KS
Other
Enumeration date
07/05/2013
Last updated
10/02/2024
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