Provider Demographics
NPI:1063862373
Name:EILERMANN, JANA (MA, NCC, LCMHC)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:
Last Name:EILERMANN
Suffix:
Gender:F
Credentials:MA, NCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 UPPER FLAT CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-8331
Mailing Address - Country:US
Mailing Address - Phone:828-761-0608
Mailing Address - Fax:
Practice Address - Street 1:619 SW LOBELIA ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-4740
Practice Address - Country:US
Practice Address - Phone:513-240-4747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health