Individual
MS. SARAH LYNN EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
932 OLD US 70 W, BLACK MOUNTAIN, NC 28711-2547
(828) 669-4161
(828) 669-4164
Mailing address
665 W 4TH ST, WINSTON SALEM, NC 27101-2701
(828) 669-4161
(828) 669-4164
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2567
NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
NC
Enumeration date
09/30/2009
Last updated
01/29/2013
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