Individual
MRS. TIFFANY LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
6325 WOODSIDE CT STE 350, COLUMBIA, MD 21046-1042
(410) 910-9660
Mailing address
1304 REDMORE CT, SEVERN, MD 21144-2406
(410) 596-4053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3659
MD
Other
Enumeration date
11/07/2015
Last updated
11/17/2020
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