Individual
JAMIE EATON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Contact information
Practice address
286 MONTEVUE LN, FREDERICK, MD 21702-8212
(240) 415-8981
Mailing address
286 MONTEVUE LN, FREDERICK, MD 21702-8212
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
LC5215
MD
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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