Individual
MRS. TIARRA MONIQUE ABU-BAKR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
9015 WOODYARD RD, CLINTON, MD 20735-4209
(301) 899-6222
Mailing address
10371 STEWARDS CHANCE LN, WHITE PLAINS, MD 20695-3297
(202) 270-7958
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP9056
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP9056
MARYLAND STATE
MD
Enumeration date
01/29/2019
Last updated
01/29/2019
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