Individual
DEBORAH A EASTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MENTAL HEALTH COU
Contact information
Practice address
5179 LYNN CREEK RD, LAVALETTE, WV 25535-9712
(304) 617-2211
Mailing address
5179 LYNN CREEK RD, LAVALETTE, WV 25535-9712
(304) 617-2211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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