Individual
TANAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
5207 ROLAND AVE, BALTIMORE, MD 21210-1995
(443) 703-6750
Mailing address
2708 JEREMY CT APT A, BALTIMORE, MD 21209-3017
(443) 703-6750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP14408
MD
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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