MS. Tisha Lea Gentry, MA LCPC
NPI #1033251368 in Hunt Valley, Maryland
Provider Information
- NPI Number
- 1033251368
- Entity Type
- Individual
- Name
- MS. Tisha Lea Gentry, MA LCPC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- MA LCPC
- Enumeration Date
- Feb 13, 2007
- Last Updated
- Mar 26, 2008
Practice Location
- Address
- 303 INTERNATIONAL CIR
- Address 2
- SUITE T-125
- City
- Hunt Valley
- State
- Maryland
- ZIP Code
- 21030-1464
- Phone
- (443) 797-0144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Counselor - Mental Health — Mental Health |
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