Provider Demographics
NPI:1689072167
Name:CUNLIFFE, EVELYN (MA, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:EVELYN
Middle Name:
Last Name:CUNLIFFE
Suffix:
Gender:F
Credentials:MA, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 N HICKORY AVE
Mailing Address - Street 2:SUITE 32
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3025
Mailing Address - Country:US
Mailing Address - Phone:443-553-7317
Mailing Address - Fax:
Practice Address - Street 1:3522 SILVERSIDE RD
Practice Address - Street 2:SUITE 32
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4916
Practice Address - Country:US
Practice Address - Phone:443-553-7317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-15
Last Update Date:2014-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC-0000691101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional