Organization
YVETTE EADDY, LCPC, LCADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE MOULTON EADDY LCPC, LCADC (THERAPIST)
(443) 500-0258
Entity
Organization
Contact information
Practice address
3911 FAIRVIEW AVE, BALTIMORE, MD 21216-1229
(443) 937-3628
Mailing address
3911 FAIRVIEW AVE, BALTIMORE, MD 21216-1229
(443) 937-3628
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC6342
MD
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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