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Per Ordal Eisenman

Counselor, Mental Health in Middlebury, VT. Individual provider (NPI-1).

NPI number1104565985
StatusActive
Last updated in NPPESJul 19, 2022

Details

NPI
1104565985
Entity type
Individual (NPI-1)
Name
Per Ordal Eisenman
Sex
Male
Sole proprietor
No
Enumeration date
Jun 1, 2022
Certification date
Jul 19, 2022
Last updated
Jul 19, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health0680134620VTYes

Practice location

67 Catamount Park
Middlebury, VT 05753-1397

Phone 802-388-6751 · Fax 802-388-8183

Mailing address

89 Main St
Middlebury, VT 05753-1483

Phone 802-388-6751 · Fax 802-388-8183

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