Individual
TAISHA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
320 E TOWSONTOWN BLVD, SUITE 2W, TOWSON, MD 21286
(410) 296-2004
(410) 296-0094
Mailing address
320 E TOWSONTOWN BLVD, SUITE 2W, TOWSON, MD 21286-5318
(410) 296-2004
(410) 296-0094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC7360
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116647600
—
MD
Enumeration date
01/13/2017
Last updated
08/13/2018
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