Doctor Name: | JUNE EANES |
NPI Number: | 1033243514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CAC-AD CFAE CCJP |
License Number: | AC0570 |
Business Practice Address: | 604 Churchill Rd Bel Air, MD - 210144227 |
Business Phone Number: | 4108388533 |
Business Fax Number: | |
Mailing Address: | 604 Churchill Rd, BEL AIR |
State: | MD |
Postal Code: | 210144227 |
Phone Number: | 4108388533 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2007 |
NPI Last Update Date: | 04/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | AC0570 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |