Individual
ASHLEY JEAN EISENMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22639 EUCLID AVE, EUCLID, OH 44117-1622
(216) 404-1900
Mailing address
22639 EUCLID AVE, EUCLID, OH 44117-1622
(216) 404-1900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.162353
OH
101YP2500X
Professional Counselor
Primary
C.2204170
OH
101YP2500X
Professional Counselor
Primary
E.2606110
OH
Other
Enumeration date
05/04/2020
Last updated
04/06/2026
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