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Elise Bershaw, Lcsw-c
Mental Health Counselor in Baltimore, Maryland
NPI 1598201600

Elise Bershaw, Lcsw-c is a Mental Health Counselor based in Baltimore, MD and is specialized in Mental Health. Elise Bershaw, Lcsw-c practices in Baltimore, MD. The NPI Number for Elise Bershaw, Lcsw-c is 1598201600 and holds a License No. 12123 (Maryland).

The current practice location address for Elise Bershaw, Lcsw-c is 10 W Madison St, Baltimore, MD and can be reached out via phone at 410-212-9463.

Location: 10 W Madison St, Baltimore, MD, 21215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598201600
Provider Name
Elise Bershaw, Lcsw-c
Credential
Provider Entity Type
Organization
Address
10 W Madison St, Baltimore, MD, 21215
Phone Number
410-212-9463
Fax Number
Provider Enumeration Date
01/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1932331139 01 MD SOLO NPI
institution
Provider Business Practice Location Address Details
Address
10 W Madison St
City
Baltimore
State
Maryland
Zip
21201-5239
Phone Number
410-212-9463
Fax Number
person
Provider Business Mailing Address Details
Address
10 W Madison St
City
Baltimore
State
Maryland
Zip
21201-5239
Phone Number
410-212-9463
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
12123 (Maryland)
Definition
Definition to come...
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