Provider Demographics
NPI:1275979049
Name:DRUCKENMILLER, EILEEN (LCAT)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:DRUCKENMILLER
Suffix:
Gender:F
Credentials:LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:HOOSICK FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12090-0212
Mailing Address - Country:US
Mailing Address - Phone:518-256-2386
Mailing Address - Fax:
Practice Address - Street 1:4976 NY ROUTE 7
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090-1902
Practice Address - Country:US
Practice Address - Phone:518-256-2386
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-20
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001656-1101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor