Individual
PHILECIA TYRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 LIGHT ST STE 200, BALTIMORE, MD 21230-4152
(443) 832-4242
Mailing address
1118 LIGHT ST STE 200, BALTIMORE, MD 21230-4152
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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