Individual
ALYSSA EILERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 WASHINGTON AVE STE R, BEDFORD, IN 47421-5310
(812) 278-8707
Mailing address
2809 WASHINGTON AVE STE R, BEDFORD, IN 47421-5310
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001459A
IN
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
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