Individual
YVETTE MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
3911 FAIRVIEW AVE, BALTIMORE, MD 21216-1229
(443) 500-0258
Mailing address
3911 FAIRVIEW AVE, BALTIMORE, MD 21216-1229
(443) 500-0258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6342
MD
101YP2500X
Professional Counselor
Primary
LC6342
MD
Other
Enumeration date
05/31/2012
Last updated
04/06/2026
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