Individual
MRS. TARA LUECKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1110 BENFIELD BLVD, SUITE J, MILLERSVILLE, MD 21108-2639
(410) 490-6828
Mailing address
104 LAIRD BENTON RD, STEVENSVILLE, MD 21666-3224
(410) 490-6828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6670
MD
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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