Individual
ANNIE EIDENSCHINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
12 CHISWICK RD, BRIGHTON, MA 02135-7102
(508) 714-7044
Mailing address
12 CHISWICK RD, BRIGHTON, MA 02135-7102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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