Individual
ANTHONY TERRELONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13121 BROOKLANE DR, HAGERSTOWN, MD 21742-1514
(301) 733-0330
Mailing address
106 W WILSON BLVD, HAGERSTOWN, MD 21740-7206
(301) 704-6457
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LG14499
MD
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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