BETHANY EISEN

RICHMOND, MI
NPI1114356847
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MI  E250085603037)
Enumeration Date2013-11-04
Last Update Date2013-11-04
Business Address
-- BETHANY EISEN
400 STODDARD RD
RICHMOND, MI 48062-2505
Phone number: 810-392-2167
Mailing Address
-- BETHANY EISEN
1450 RIVER RD UNIT 17
SAINT CLAIR, MI 48079-2809
Phone number:
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