Individual
TAMARA ALEXIS BELL AMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8303 VERONA DR, NEW CARROLLTON, MD 20784-3410
(330) 717-1311
Mailing address
8303 VERONA DR, NEW CARROLLTON, MD 20784-3410
(330) 717-1311
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PRC14947
DC
390200000X
Student in an Organized Health Care Education/Training Program
APC005516
GA
Other
Enumeration date
11/11/2016
Last updated
07/01/2022
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