Individual
EDYTA R FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
600 WYNDHURST AVE STE 100F, BALTIMORE, MD 21210-2489
(443) 902-5628
(443) 495-6881
Mailing address
157 BOURBON CT, PARKVILLE, MD 21234-8007
(443) 902-5628
(443) 495-6881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC10003
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC10003
BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
MD
Enumeration date
01/31/2018
Last updated
05/22/2025
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