Individual
MICHAEL EISENHAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120-5193
(888) 588-8995
Mailing address
5555 RESERVOIR DR STE 309, SAN DIEGO, CA 92120-5193
(619) 876-4502
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPCC4648
CA
101YP2500X
Professional Counselor
0701006573
VA
101YP2500X
Professional Counselor
Primary
LPCC4648
CA
Other
Enumeration date
08/02/2016
Last updated
12/09/2024
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