Individual
TONYA LYNETTE MACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
155 WILLOWDALE DR APT 43, FREDERICK, MD 21702-5107
(301) 305-5055
Mailing address
155 WILLOWDALE DR APT 43, FREDERICK, MD 21702-5107
(301) 305-5055
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP11923
MD
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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