Individual
MS. TAMARA NICOLE KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LCADC
Contact information
Practice address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-0100
(410) 222-0116
Mailing address
122 LANGLEY RD N, GLEN BURNIE, MD 21060-6531
(410) 222-0100
(410) 222-0116
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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