Individual
THERESA ANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5525 TWIN KNOLLS RD, SUITE 327, COLUMBIA, MD 21045-3266
(410) 992-9149
(410) 992-9921
Mailing address
5525 TWIN KNOLLS RD, SUITE 327, COLUMBIA, MD 21045-3266
(410) 992-9149
(410) 992-9921
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC2348
MD
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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