Organization
EIKON PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA JEAN MCMILLIAN LCPC (PRESIDENT)
(301) 317-4702
Entity
Organization
Contact information
Practice address
9811 MALLARD DR, SUITE 219, LAUREL, MD 20708-3143
(301) 317-4702
(301) 497-9493
Mailing address
8238 IMPERIAL DR, LAUREL, MD 20708-1832
(301) 317-8982
(301) 497-9493
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1752
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744BEI
BLUE CROSS & BLUE SHIELD
MD
Enumeration date
05/27/2006
Last updated
08/22/2020
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