Healthcare Provider Details

I. General information

NPI: 1912797978
Provider Name (Legal Business Name): TESS MARIE HARRINGTON DLA-20, BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2025
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7517 NEW HAMPSHIRE AVE
TAKOMA PARK MD
20912-6969
US

IV. Provider business mailing address

7517 NEW HAMPSHIRE AVE
TAKOMA PARK MD
20912-6969
US

V. Phone/Fax

Practice location:
  • Phone: 518-791-3430
  • Fax:
Mailing address:
  • Phone: 518-791-3430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: