Individual
TANYA VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7105 CHICKWEED CT, CLINTON, MD 20735-5856
(410) 893-4600
(443) 640-4358
Mailing address
7105 CHICKWEED CT, CLINTON, MD 20735-5856
(225) 636-0467
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC9107
MD
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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