MARY JO BETYAK-EISLER LMHC LPC CSAC NPI 1710741426

NPI Information

NPI: 1710741426
Provider Name: MARY JO BETYAK-EISLER, LMHC, LPC, CSAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
77 WAGONEERS LN
STAFFORD, VA
ZIP 22554
Phone: (619) 507-7254
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Mary Jo Betyak-eisler, LMHC, LPC, CSAC is a professional counselor in Stafford, VA. Mary Jo Betyak-eisler, LMHC, LPC, CSAC NPI is 1710741426. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

77 WAGONEERS LN
STAFFORD, VA
ZIP 22554-521
Phone: (619) 507-7254

The enumeration date for this NPI number is 2/13/2024 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0710102795	VIRGINIA	No
2	101YM0800X	Counselor	Mental Health	004087-01	NEW YORK	No
3	101YP2500X	Counselor	Professional	0701005517	VIRGINIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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