Doctor Name: | RICHARD MICHAEL EBERLE |
NPI Number: | 1043696032 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 5544 |
Business Practice Address: | 509 E Thomas St Hammond, LA - 704013321 |
Business Phone Number: | 9856347594 |
Business Fax Number: | |
Mailing Address: | 509 E Thomas St, HAMMOND |
State: | LA |
Postal Code: | 704013321 |
Phone Number: | 9856347594 |
Fax Number: | |
NPI Enumeration Date: | 08/03/2015 |
NPI Last Update Date: | 08/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5544 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |