person
Ms. Lisa Harriet Kornberg, LCPC,LCADC
Professional Counselor in Baltimore, Maryland
NPI 1477564805

Lisa Harriet Kornberg is a Professional Counselor based in Baltimore, MD and is specialized in Professional. Lisa Harriet Kornberg practices in Baltimore, MD and has the professional credentials of LCPC,LCADC. The NPI Number for Lisa Harriet Kornberg is 1477564805 and holds a License No. LCA326 (Maryland).

The current practice location address for Lisa Harriet Kornberg is 5901 Falls Rd, Baltimore, MD and can be reached out via phone at 443-869-5716. You can also correspond with Lisa Harriet Kornberg through the mailing address at 5901 FALLS RD, BALTIMORE, MD - 21209-3725 (mailing address contact number: 443-590-3701).

Location: 5901 Falls Rd, Baltimore, MD, 21209-3725
person
Provider Profile Details
NPI Number
1477564805
Provider Name
Lisa Harriet Kornberg
Credential
LCPC,LCADC
Provider Entity Type
Individual
Gender
Female
Address
5901 Falls Rd, Baltimore, MD, 21209-3725
Phone Number
443-869-5716
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
016808400 05 MD
institution
Provider Business Practice Location Address Details
Address
5901 Falls Rd
City
State
Zip
21209-3725
Phone Number
443-869-5716
Fax Number
person
Provider Business Mailing Address Details
Address
5901 Falls Rd
City
State
Zip
21209-3725
Phone Number
443-869-5716
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LCO313 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LC0313 (Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LCA326 (Maryland)
Definition
Definition to come...
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