Individual
TYRA L THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7611 CRAIN HWY SUITE C150 #302, #302, UPPER MARLBORO, MD 20772-5208
(301) 442-8111
Mailing address
7611 CRAIN HWY SUITE C150, #302, UPPER MARLBORO, MD 20772-5208
(301) 442-8111
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP8782
MD
Other
Enumeration date
07/06/2018
Last updated
01/20/2025
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