Individual
JOANNA OLIVIA EASTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
10102 COUNTRY CLUB RD SE, CUMBERLAND, MD 21502-8339
(301) 777-2285
Mailing address
12205 BOWLING ST, CUMBERLAND, MD 21502-5111
(301) 697-5804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP13627
MD
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
03/31/2023
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