Provider Demographics
NPI:1679645949
Name:TINDALL, MARCIA CHRISTINE (LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:CHRISTINE
Last Name:TINDALL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:MS
Other - First Name:MARCIA
Other - Middle Name:CHRISTINE
Other - Last Name:HINKLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC
Mailing Address - Street 1:12607 TAYLOR CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-3531
Mailing Address - Country:US
Mailing Address - Phone:410-610-4242
Mailing Address - Fax:
Practice Address - Street 1:7920 OLD GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2425
Practice Address - Country:US
Practice Address - Phone:410-610-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2099101YP2500X
DCPRC13764101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional