Individual provider · Type 1 NPI

Eileen June Maxwell, LCSW

Mental Health Counselor · Ithaca, NY

NPI number 1881855062 Active

Practice location

204 N Cayuga St
Ithaca, NY 14850-4333

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X050080 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1881855062

Eileen June Maxwell, LCSW's National Provider Identifier is 1881855062, issued on Jun 20, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ithaca, NY. The record was last updated on Jun 20, 2008.