Individual
AYANA TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
176 THOMAS JOHNSON DR, FREDERICK, MD 21702-4410
(240) 608-5540
(301) 471-1258
Mailing address
PO BOX 306, OLNEY, MD 20830-0306
(240) 608-5540
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20274
MD
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
MD
Enumeration date
08/16/2017
Last updated
07/11/2023
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