Individual
DALE J EILERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PCC-S
Contact information
Practice address
2670 WOODMAN CENTER CT, KETTERING, OH 45420-1477
(937) 219-4996
Mailing address
3797 WILLOW CREEK DR, DAYTON, OH 45415-2034
(937) 219-4996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E-124
OH
Other
Enumeration date
10/05/2008
Last updated
10/05/2008
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