Individual
TAMIKA RENEE BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10451 TWIN RIVERS RD STE 100, COLUMBIA, MD 21044-2332
(410) 997-3557
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/02/2021
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