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NPI Code Detail

MEDICARE: KAITLIN MARIE EILERMAN

MEDICARE: KAITLIN MARIE EILERMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1184503211
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN MARIE EILERMAN
Provider Business Mailing Address
First Line : PO BOX 1162
Second Line :
City : JACKSONVILLE
State : AL
Zip : 36265-5162
Country : US
Telephone Number : 256-239-5662
Fax Number :
Provider Business Practice Location Address
First Line : 150 W PARK LOOP NW STE 101
Second Line :
City : HUNTSVILLE
State : AL
Zip : 35806-1759
Country : US
Telephone Number : 256-239-5662
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2025
Last Update Date : 12/01/2025

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Directions to “ KAITLIN MARIE EILERMAN ” Practice Location

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