Individual
TANESHA HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 CRAIN HWY, 107, WALDORF, MD 20601-3164
(301) 752-5264
Mailing address
11219 HERON PL, A, WALDORF, MD 20603-4816
(301) 752-5264
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/21/2016
Last updated
08/21/2016
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