Individual
ANNE EISENMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 E 6TH ST, DAYTON, OH 45402-2838
(937) 223-3446
(937) 223-3484
Mailing address
301 E 6TH ST, DAYTON, OH 45402-2838
(937) 223-3446
(937) 223-3484
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
001139
OH
106H00000X
Marriage & Family Therapist
96
NH
106H00000X
Marriage & Family Therapist
Primary
F0000039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2270702
CIGNA
—
01
—
7706638Y0NH01
ANTHEM
—
Enumeration date
04/03/2007
Last updated
09/23/2009
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