Individual
MS. JILL ANN EISENBART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3781
(303) 853-3754
Mailing address
532 10TH ST, FORT COLLINS, CO 80524-2558
(303) 853-3781
(303) 853-3754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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