Individual
ELESHIEA REGENIA GOODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10440 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3648
(443) 414-3658
Mailing address
4200 COLBORNE RD, BALTIMORE, MD 21229-1601
(443) 621-8814
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP1187
MD
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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