Individual
MS. TINA MACZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1777 REISTERSTOWN RD, PIKESVILLE, MD 21208-1380
(410) 395-4085
Mailing address
204 W 27TH ST, BALTIMORE, MD 21211-3001
(240) 285-1875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
ATG276
MD
101Y00000X
Counselor
Primary
LC12082
MD
Other
Enumeration date
02/08/2020
Last updated
10/03/2023
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