Individual
DR. JAMES WALTER EISENHOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D, LCSW
Contact information
Practice address
281 INDEPENDENCE BLVD, SUITE 305, VIRGINIA BEACH, VA 23462-2986
(757) 373-6051
(757) 497-1327
Mailing address
281 INDEPENDENCE BLVD, SUITE 305, VIRGINIA BEACH, VA 23462-2986
(757) 373-6051
(757) 497-1327
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904000683
VA
Other
Enumeration date
09/16/2006
Last updated
08/03/2007
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