Individual
MS. DANA EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
528 CLEVELAND ST, MISSOULA, MT 59801-3743
(406) 549-6800
Mailing address
528 CLEVELAND ST, MISSOULA, MT 59801-3743
(406) 549-6800
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
59867
MT
1041C0700X
Clinical Social Worker
Primary
580 LCSW
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
502758
—
MT
01
—
70095
BCBS
MT
Enumeration date
05/09/2006
Last updated
10/13/2015
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