Individual
MISS EILEEN MARIE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC
Contact information
Practice address
ELIOT COMMUNTIY HUMAN SERVICES 95 PLEASANT ST, LYNN, MA 01901-1524
(781) 581-4400
Mailing address
ELIOT COMMUNTIY HUMAN SERVICES 95 PLEASANT ST, LYNN, MA 01901-1524
(781) 581-4400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3369
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042316924
—
MA
Enumeration date
01/27/2009
Last updated
04/05/2010
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