Individual
BETHANY EITENMILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
598 OLD WEST VINE ST, CANTON, IL 61520-8757
(309) 338-1347
Mailing address
598 OLD WEST VINE ST, CANTON, IL 61520-8757
(309) 338-1347
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.032719
IL
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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