Individual
JEREMY RYAN TALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
9030 ROUTE 108, SUITE A, COLUMBIA, MD 21045-1990
(410) 740-1901
(410) 740-2503
Mailing address
9030 ROUTE 108, SUITE A, COLUMBIA, MD 21045-1990
(410) 740-1901
(410) 740-2503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7560
MD
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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