Search › Maryland › 106H00000X
Tiara Fennell, LCMFT
NPI 1619440633 · on the registry since 2019
Practice
- Address
- 1133 E West Hwy Apt 1120w
Silver Spring, MD 20910 - Phone
- (910) 284-7403
- Organisation at this address
- Revive Treatment Center Inc
Capstone Treatment Center, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland