Provider Demographics
NPI:1821351859
Name:FALCONE, TARA M (LCPC)
Entity Type:Individual
Prefix:MS
First Name:TARA
Middle Name:M
Last Name:FALCONE
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 INTERNATIONAL CIR
Mailing Address - Street 2:T125
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1464
Mailing Address - Country:US
Mailing Address - Phone:443-797-0144
Mailing Address - Fax:
Practice Address - Street 1:303 INTERNATIONAL CIR
Practice Address - Street 2:SUITE T-125
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-1464
Practice Address - Country:US
Practice Address - Phone:443-797-0144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5683101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health