Individual
JOANN RUTH EDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BH007978
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
BH007978
PA
251B00000X
Case Management Agency
BH007978
PA
251S00000X
Community/Behavioral Health Agency
BH007978
PA
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
Update your record
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