Individual
MISS TASHICA MONIQUE HALYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2415 MARYLAND AVE, BALTIMORE, MD 21218-5017
(281) 417-8427
Mailing address
2415 MARYLAND AVE, BALTIMORE, MD 21218-5017
(281) 508-3604
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
44846
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC3123
MD
101YM0800X
Mental Health Counselor
Primary
LC10959
MD
101YP2500X
Professional Counselor
6401222375
MI
101YP2500X
Professional Counselor
87418
TX
Other
Enumeration date
03/13/2019
Last updated
04/19/2024
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