Individual
LEANNE E EDDINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4076 N BROOKWOOD DR, BLOOMINGTON, IN 47404-9602
(812) 947-1297
Mailing address
4076 N BROOKWOOD DR, BLOOMINGTON, IN 47404-9602
(812) 947-1297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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