Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LC6638 | MD |
NPI | 1003287905 |
---|---|
Provider Name | Ms. Sara Trescott |
First Address | Columbia, MD 21044-3264 |
Second Address | Columbia, MD 21044-3264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2015 |
Last Update Date | 18/10/2015 |