Individual
MR. JOHN KYLE YEARICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LGPC
Contact information
Practice address
9314 PISCATAWAY RD, CLINTON, MD 20735-3630
(301) 856-9509
Mailing address
446 HERALD HARBOR RD, CROWNSVILLE, MD 21032-1619
(240) 925-0573
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP6408
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP6408
PROFESSIONAL COUNSELING LICENSE
MD
Enumeration date
07/16/2015
Last updated
07/16/2015
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