Individual provider · Type 1 NPI

Shane Tyler Hart, LCPC

Professional Counselor · Baltimore, MD

NPI number 1811573389 Active

Practice location

6501 N Charles St
Baltimore, MD 21204-6819

Call (410) 938-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLC8801 (MD)

Professional Counselor: Definition to come...

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About NPI 1811573389

Shane Tyler Hart, LCPC's National Provider Identifier is 1811573389, issued on Mar 23, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Mar 23, 2021.