person
Shannon Edmiston, LCPC
Professional Counselor in Baltimore, Maryland
NPI 1508278979

Shannon Edmiston is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Shannon Edmiston practices in Baltimore, MD and has the professional credentials of LCPC. The NPI Number for Shannon Edmiston is 1508278979 and holds a License No. LC5373 (Maryland).

The current practice location address for Shannon Edmiston is 5820 York Rd, Baltimore, MD and can be reached out via phone at 410-989-3899 and via fax at 410-777-8742.

Location: 5820 York Rd, Baltimore, MD, 21212-3610
person
Provider Profile Details
NPI Number
1508278979
Provider Name
Shannon Edmiston
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
5820 York Rd, Baltimore, MD, 21212-3610
Phone Number
410-989-3899
Fax Number
410-777-8742
Provider Enumeration Date
05/20/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5820 York Rd
City
State
Zip
21212-3610
Phone Number
410-989-3899
Fax Number
410-777-8742
person
Provider Business Mailing Address Details
Address
5820 York Rd
City
State
Zip
21212-3610
Phone Number
410-989-3899
Fax Number
410-777-8742
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC5373 (Maryland)
Definition
Definition to come...
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