Individual
TINA L CHAMPAGNE-GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-2211
(410) 758-2211
Mailing address
120 BANJO LN, CENTREVILLE, MD 21617-1002
(410) 758-2211
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34215
MD
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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