National Provider Identifier
Eileen June Maxwell, LCSW
Eileen June Maxwell, LCSW is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1881855062
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 20, 2008
- Last Updated
- June 20, 2008
Practice Location
- 204 N Cayuga St
- Ithaca, NY 14850-4333
Phone: (607) 273-7494
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1881855062
- Entity Type
- Individual
- Last Name
- Maxwell
- First Name
- Eileen
- Middle Name
- June
- Credential
- LCSW
- Mailing Street Address
- 204 N Cayuga St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-4333
- Mailing Country
- US
- Mailing Phone
- (607) 273-7494
- Practice Street Address
- 204 N Cayuga St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4333
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- June 20, 2008
- Last Updated
- June 20, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)