Individual provider · Type 1 NPI

Tyrese Lois Carter

Professional Counselor · Nottingham, MD

NPI number 1104591775 Active

Practice location

19 Lerner Ct
Nottingham, MD 21236-3009

Call (443) 969-5542 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP11244 (MD)

Professional Counselor: Definition to come...

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About NPI 1104591775

Tyrese Lois Carter's National Provider Identifier is 1104591775, issued on Aug 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Nottingham, MD. The record was last updated on Jul 8, 2022.