Tisha Lea Gentry MA LCPC

NPI 1033251368 - Counselor - 101YM0800X

NPI Details
NPI 1033251368
Gender Female
Enumeration Date 02/13/2007
Last Updated 03/26/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
303 INTERNATIONAL CIR
SUITE T-125
HUNT VALLEY MD, 21030-1464, US
Phone (443) 797-0144
Fax
Business Location
203 H YORKSHIRE WAY
BEL AIR MD, 21014, US
Phone (410) 420-7155
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Maryland
License Number LCPC 1953
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According to our database, Ms. Tisha Lea Gentry MA LCPC NPI is 1033251368, taxonomy code is 101YM0800X and license number is LCPC 1953, license state is located at Maryland. Tisha Lea Gentry MA LCPC physically located at 303 International Cir, Hunt Valley MD, 21030-1464. NPI Number Tisha Lea Gentry MA LCPC has the Individual type.

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1033251368 NPI number is provided on an as is basis without warranty of any kind. 1033251368 is maintained by the National Plan & Provider Enumeration System. The contents of Tisha Lea Gentry MA LCPC are for informational purposes only.