Individual
EDWARD BLAKE ELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1221 TAYLOR ST NW, WASHINGTON, DC 20011-5617
(240) 543-6380
Mailing address
4308 MERTON RD, ROCKVILLE, MD 20853-2170
(240) 543-6380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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