Individual
MICHAEL ANTHONY EIDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223
(502) 589-8600
Mailing address
10101 LINN STATION RD STE 600, LOUISVILLE, KY 40223-3818
(502) 589-8600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
175416
KY
Other
Enumeration date
11/14/2017
Last updated
06/19/2018
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