Individual
MRS. TAMISHA NICOLE KELLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6188 OXON HILL RD STE 500, OXON HILL, MD 20745-3136
(307) 567-0400
Mailing address
8702 GRASSLAND CT, WALDORF, MD 20603-4916
(301) 922-9746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2688
MD
Other
Enumeration date
05/24/2010
Last updated
01/31/2019
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