Jeremy Ryan Tallman, LCPC | |
9030 Route 108, Suite A, Columbia, MD 21045-1990 | |
(410) 740-1901 | |
(410) 740-2503 |
Full Name | Jeremy Ryan Tallman |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 9030 Route 108, Columbia, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225574031 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC7560 (Maryland) | Primary |
Entity Name | Way Station Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136 |
Entity Name | Mosaic Community Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
Mailing Address | Practice Location Address |
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Jeremy Ryan Tallman, LCPC 9030 Route 108, Suite A, Columbia, MD 21045-1990 Ph: (410) 740-1901 | Jeremy Ryan Tallman, LCPC 9030 Route 108, Suite A, Columbia, MD 21045-1990 Ph: (410) 740-1901 |
Ms. Sara Trescott, LCPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 Phone: 410-740-8066 | |
Mrs. Lara Jayne Peter, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044 Phone: 240-470-0663 | |
Melissa Lynn Nugent, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6440 Dobbin Rd Ste D, Columbia, MD 21045 Phone: 410-730-2385 | |
Ms. Selvi Arasi Chellaiah, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10005 Old Columbia Rd, Columbia, MD 21046 Phone: 443-956-3399 | |
Wendy Simmons Iglehart, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5525 Twin Knolls Rd, Suite 327, Columbia, MD 21045 Phone: 410-992-9149 Fax: 410-992-9921 | |
Ms. Emily Jean Garrison, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7014 Gentle Shade Rd Apt 304, Columbia, MD 21046 Phone: 301-537-0545 | |
Dionne Jimenez, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5457 Twin Knolls Rd Ste 310, Columbia, MD 21045 Phone: 410-997-0304 Fax: 410-997-1397 |