Individual
LEIGH ANNE TABERNERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LGPC
Contact information
Practice address
6600 YORK RD SUITE 110, TOWSON, MD 21212
(443) 410-4325
Mailing address
3502 UPTON RD., PARKVILLE, MD 21234
(443) 410-4325
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LGP5643
MD
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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