| Tyreese Mcallister Clinical & Forensic Associates | |
|
9701 Apollo Dr Ste 100 Upper Marlboro MD 20774-4785 | |
| (301) 636-5856 | |
| (301) 636-1110 |
| Full Name | Tyreese Mcallister Clinical & Forensic Associates |
|---|---|
| Speciality | Counselor - Professional |
| Location | 9701 Apollo Dr Ste 100, Upper Marlboro, Maryland |
| Authorized Official Name and Position | Tyreese Mcallister (OWNER) |
| Authorized Official Contact | 3016365856 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tyreese Mcallister Clinical & Forensic Associates 9701 Apollo Dr Ste 100 Upper Marlboro MD 20774-4785 Ph: (301) 636-5856 | Tyreese Mcallister Clinical & Forensic Associates 9701 Apollo Dr Ste 100 Upper Marlboro MD 20774-4785 Ph: (301) 636-5856 |
| NPI Number | 1316572217 |
|---|---|
| Provider Enumeration Date | 03/11/2020 |
| Last Update Date | 03/11/2020 |
| Certification Date | 03/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316572217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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