Individual
TIARA FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMFT
Contact information
Practice address
1133 E WEST HWY APT 1120W, SILVER SPRING, MD 20910-6824
(910) 284-7403
Mailing address
1133 E WEST HWY APT 1120W, SILVER SPRING, MD 20910-6824
(910) 284-7403
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCM946
MD
Other
Enumeration date
01/03/2019
Last updated
06/25/2024
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