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Organization
EASTERN AVENUE HEALTH SOLUTIONS, INC
Active
Organization
EASTERN AVENUE HEALTH SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANINE MARIE GINI LCPC (ADMINISTRATOR)
(443) 600-3054
Entity
Organization
Contact information
Practice address
5920 EASTERN AVENUE, SUITE C, BALTIMORE, MD 21224
(410) 631-2772
(866) 846-7468
Mailing address
600 REISTERSTOWN RD, SUITE 600C, PIKESVILLE, MD 21208
(866) 530-9250
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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