Individual
MS. EILEEN M ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
16 WALNUT ST, MIDDLETOWN, MD 21769-8019
(301) 371-3707
(301) 371-3706
Mailing address
16 WALNUT ST, MIDDLETOWN, MD 21769-8019
(301) 371-3707
(301) 371-3706
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC1639
MD
101YP2500X
Professional Counselor
Primary
1726
WV
Other
Enumeration date
07/13/2006
Last updated
06/13/2018
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