Individual
MRS. TINA BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1425 LIBERTY RD, ELDERSBURG, MD 21784-6420
(240) 595-0980
Mailing address
1608 LOCKSLEY LN, MOUNT AIRY, MD 21771-8730
(240) 595-0980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7197
MD
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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