MICHELE TANNER

BALTIMORE, MD
NPI1245654813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC1860)
Enumeration Date2014-02-18
Last Update Date2014-02-18
Business Address
-- MICHELE TANNER CAC-AD
2225 N CHARLES ST
BALTIMORE, MD 21218-5778
Phone number: 410-366-4360
Mailing Address
-- MICHELE TANNER CAC-AD
3004 FLEETWOOD AVE
BALTIMORE, MD 21214-1452
Phone number: 443-635-8079