Search › Washington › 1041C0700X
Kenneth Eisenberger, LICSW, DCSW
NPI 1881694321 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1303 S O St
Port Angeles, WA 98363 - Phone
- (360) 626-1457
- Fax
- (360) 626-1457
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington