Individual
TANISHA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCPC
Contact information
Practice address
1604 ROBERT LEWIS AVE, UPPER MARLBORO, MD 20774-5654
(301) 651-4517
Mailing address
1604 ROBERT LEWIS AVE, UPPER MARLBORO, MD 20774-5654
(301) 651-4517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2298
MD
101YP2500X
Professional Counselor
PRC13923
DC
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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