Tanae Smith LGPC - Mental Health Counselor in Baltimore, Maryland | ProviderWire

Full Name

Tanae Smith LGPC

NPI Number

1023898384

NPI Type

Individual Provider

Gender

Female

Enumeration Date

10/04/2023

Specialties

(Taxonomies)

Name

Mental Health Counselor

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Maryland

License Number

LGP14408

Contact
Information

Purpose

Mailing

Location

Address

2708 JEREMY CT APT A

5207 ROLAND AVE

City

Baltimore

Baltimore

State

MD

MD

Postal Code

21209-3017

21210-1995

Country

US

US

Telephone Number

(443) 703-6750

(443) 703-6750

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/04/2023

Provider Address

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