IndividualActive
Bethany Eitenmiller, LPC
NPI 1669314134 · Professional Counselor · Canton, IL
Provider details
- NPI number
- 1669314134
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 178.032719 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
598 Old West Vine St
Canton, IL 61520-8757
Phone: (309) 338-1347
Approximate (ZIP-level) locationGet directions
Mailing address
598 Old West Vine St
Canton, IL 61520-8757
Registry dates
- Enumerated
- 2026-04-06
- Last updated
- 2026-04-06
- Certified
- 2026-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.