Organization
MAIN STREET COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA MARIE EISENBEIS MSW LCSW (OWNER)
(314) 484-6198
Entity
Organization
Contact information
Practice address
223 N MAIN ST, SUITE #3, SAINT CHARLES, MO 63301-2828
(314) 484-6198
(636) 244-1933
Mailing address
223 N MAIN ST, SUITE #3, SAINT CHARLES, MO 63301-2828
(314) 484-6198
(636) 244-1933
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2005040010
MO
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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