Individual
TAMIKA ROLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
122 WEBER ST, BALTIMORE, MD 21230-4106
(410) 752-5525
(410) 752-5531
Mailing address
1329 E NORTHERN PKWY, BALTIMORE, MD 21239-1920
(443) 668-7840
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
000495
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64758501
BCBS MD. RENDERING PRV #
MD
01
—
KC29UN
CAREFIRST PROV #
MD
01
—
T5140018
REGIONAL BLUE CHOIC PRV #
MD
Enumeration date
11/28/2006
Last updated
07/09/2007
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