Individual
MRS. TANEA MARLENE COUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4210 LEEDS AVE, BALTIMORE, MD 21229-5421
(443) 447-6084
Mailing address
4210 LEEDS AVE, BALTIMORE, MD 21229-5421
(443) 447-6084
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC6818
MD
Other
Enumeration date
06/16/2010
Last updated
08/21/2025
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