Individual
MRS. TIA THOMAS-RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSC-AD
Contact information
Practice address
6401 YORK RD, 3RD FLOOR, BALTIMORE, MD 21212
(410) 887-3828
Mailing address
349 BRUAW DRIVE, YORK, PA 17406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SC0906
MD
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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