person
Ms. Susan Ann Tangires, LCPCLCADC
Professional Counselor in Catonsville, Maryland
NPI 1033171061

Susan Ann Tangires is a Professional Counselor based in Ellicott City, MD and is specialized in Professional. Susan Ann Tangires practices in Catonsville, MD and has the professional credentials of LCPCLCADC. The NPI Number for Susan Ann Tangires is 1033171061 and holds a License No. LCA343 (Maryland).

The current practice location address for Susan Ann Tangires is 800 Ingleside Ave, Catonsville, MD and can be reached out via phone at 410-744-5937 and via fax at 410-744-9423. You can also correspond with Susan Ann Tangires through the mailing address at 3134 CHATHAM CT, ELLICOTT CITY, MD - 21042-2410 (mailing address contact number: 410-465-8448).

Location: 800 Ingleside Ave, Catonsville, MD, 21042-2410
person
Provider Profile Details
NPI Number
1033171061
Provider Name
Susan Ann Tangires
Credential
LCPCLCADC
Provider Entity Type
Individual
Gender
Female
Address
800 Ingleside Ave, Catonsville, MD, 21042-2410
Phone Number
410-744-5937
Fax Number
410-744-9423
Provider Enumeration Date
04/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0089 01 BS FEDERAL GROUP S003
328196 01 MHN AND TRICARE
487506 01 VALUE OPTIONS GREAT WEST
11554503 01 CAQH
721298000 01 MAGELLAN BEHAVIORAL HEALT
522229157 01 PHCS
2124028 01 MAMSI UNITED HEALTH CARE
333404000 05 MD
7284589 01 AETNA BEHAVIORAL HEALTH
100072697 01 APS
63662901 01 MD BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
800 Ingleside Ave
City
State
Zip
21228-1722
Phone Number
410-744-5937
Fax Number
410-744-9423
person
Provider Business Mailing Address Details
Address
3134 Chatham Ct
City
State
Zip
21042-2410
Phone Number
410-465-8448
Fax Number
410-744-9423
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LC1260 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCA343 (Maryland)
Definition
Definition to come...
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