Individual provider · Type 1 NPI
Tony Marcus Small
Mental Health Counselor · Upper Marlboro, MD
NPI number
1043190010
Active
Practice location
10708 Brookwood Ave
Upper Marlboro, MD 20772-4602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1043190010
Tony Marcus Small's National Provider Identifier is 1043190010, issued on Sep 2, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Upper Marlboro, MD. The record was last updated on Sep 2, 2025.