Individual
MRS. TINA CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1826 WOODLAWN DR STE 3, WOODLAWN, MD 21207-4050
(410) 800-2121
Mailing address
909 COOKS LN APT 3B, BALTIMORE, MD 21229-1285
(443) 629-9985
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC16564
MD
Other
Enumeration date
07/01/2024
Last updated
06/24/2025
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