Individual provider · Type 1 NPI

Theresa Slade

Professional Counselor · Lutherville Timonium, MD

NPI number 1679233092 Active

Practice location

1615 York Rd Ste 300
Lutherville Timonium, MD 21093-5639

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1679233092

Theresa Slade's National Provider Identifier is 1679233092, issued on Dec 27, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lutherville Timonium, MD. The record was last updated on Dec 27, 2021.