Individual
MRS. TARA COLLEEN CARLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
1208 E CHURCHVILLE RD STE 300, BEL AIR, MD 21014-3485
(410) 893-4600
Mailing address
400 MADISON DR, SHREWSBURY, PA 17361-1629
(215) 534-2095
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10292
MD
Other
Enumeration date
07/28/2014
Last updated
02/21/2020
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