Individual
DR. MICHAEL JOHN EISENBEISS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST COUNSEL
Contact information
Practice address
315 N ALLEMBAUGH, BOISE, ID 83704
(208) 376-3546
(208) 345-4425
Mailing address
315 N ALLEMBAUGH, BOISE, ID 83704
(208) 376-3546
(208) 345-4425
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC286
ID
103TC0700X
Clinical Psychologist
PSY57
ID
106H00000X
Marriage & Family Therapist
Primary
LMFT19
ID
Other
Enumeration date
12/18/2006
Last updated
09/11/2025
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