Individual provider · Type 1 NPI
Wendy L. Eddy, LMHC, CASAC
Mental Health Counselor · Black Rivewr, NY
NPI number
1215258967
Active
Practice location
21534 Staplin Road
Black Rivewr, NY 13612
Fax (315) 788-1529
Mailing address
21534 Staplin Rd
Black River, NY 13612-2170
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 001759-1 (NY) |
Mental Health Counselor: Definition to come...
About NPI 1215258967
Wendy L. Eddy, LMHC, CASAC's National Provider Identifier is 1215258967, issued on Jun 17, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Black Rivewr, NY. The record was last updated on Jun 17, 2010.