Organization
PUSH COUNSELING BALTIMORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY WICKS LPC, NCC (THERAPIST)
(410) 415-3887
Entity
Organization
Contact information
Practice address
822 GUILFORD AVE STE 901, BALTIMORE, MD 21202-3707
(410) 415-3887
Mailing address
822 GUILFORD AVE STE 901, BALTIMORE, MD 21202-3707
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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