person
Candice Lillian Tyson, LGPC
Mental Health Counselor in Baltimore, Maryland
NPI 1164101218

Candice Lillian Tyson is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Candice Lillian Tyson practices in Baltimore, MD and has the professional credentials of LGPC. The NPI Number for Candice Lillian Tyson is 1164101218 and holds a License No. LGP13892 (Maryland).

The current practice location address for Candice Lillian Tyson is 1340 Smith Ave Ste 200, Baltimore, MD and can be reached out via phone at 410-779-1314 and via fax at 410-779-1336. You can also correspond with Candice Lillian Tyson through the mailing address at 1340 SMITH AVE STE 200, BALTIMORE, MD - 21209-3796 (mailing address contact number: 410-779-1314).

Location: 1340 Smith Ave Ste 200, Baltimore, MD, 21209-3796
person
Provider Profile Details
NPI Number
1164101218
Provider Name
Candice Lillian Tyson
Credential
LGPC
Provider Entity Type
Individual
Gender
Female
Address
1340 Smith Ave Ste 200, Baltimore, MD, 21209-3796
Phone Number
410-779-1314
Fax Number
410-779-1336
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1340 Smith Ave Ste 200
City
State
Zip
21209-3796
Phone Number
410-779-1314
Fax Number
410-779-1336
person
Provider Business Mailing Address Details
Address
1340 Smith Ave Ste 200
City
State
Zip
21209-3796
Phone Number
410-779-1314
Fax Number
410-779-1336
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
LGP13892 (Maryland)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LGP13892 (Maryland)
Definition
Definition to come...
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