Individual
MRS. TASHA TENIKA PENICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W HIGH ST STE 109, ELKTON, MD 21921-5549
(443) 760-3620
Mailing address
111 W HIGH ST STE 109, ELKTON, MD 21921-5549
(410) 273-4448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/17/2013
Last updated
04/06/2022
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