Individual
BREONA TYSHIIA HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 REISTERSTOWN RD STE 207, PIKESVILLE, MD 21208-2920
(415) 955-7143
Mailing address
15104 MARY BOWIE PKWY, UPPER MARLBORO, MD 20774-8447
(415) 955-7143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
12/11/2023
Last updated
12/14/2023
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