Individual
TANNICA LAVONE STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1107 N POINT BLVD STE 205, BALTIMORE, MD 21224-3401
(410) 284-3070
Mailing address
1040 PARK AVE, BALTIMORE, MD 21201-5633
(410) 837-3977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7416
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13919520
CAQH
MD
Enumeration date
11/03/2016
Last updated
11/03/2016
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