Individual provider · Type 1 NPI

Shannon Edmiston, LCPC

Professional Counselor · Baltimore, MD

NPI number 1508278979 Active

Practice location

5820 York Rd, T300
Baltimore, MD 21212-3610

Call (410) 989-3899 Map

Fax (410) 777-8742

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC5373 (MD)

Professional Counselor: Definition to come...

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About NPI 1508278979

Shannon Edmiston, LCPC's National Provider Identifier is 1508278979, issued on May 20, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on May 20, 2014.