Individual
ANGELA LYNN EISENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
2022 3RD AVE NW, WAVERLY, IA 50677-2010
(319) 596-5910
Mailing address
528 KINGSLEY AVE, WATERLOO, IA 50701-2956
(319) 217-0587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
126423
IA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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