Individual
KARENA TINIKA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1336 HOMESTEAD ST, BALTIMORE, MD 21218-3624
(443) 927-6436
Mailing address
1336 HOMESTEAD ST, BALTIMORE, MD 21218-3624
(443) 927-6436
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA-2979
MD
Other
Enumeration date
06/30/2020
Last updated
02/17/2022
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