Individual
LIANA VADALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6999 REISTERSTOWN RD STE 4, BALTIMORE, MD 21215-1492
(410) 585-0598
Mailing address
6999 REISTERSTOWN RD STE 4, BALTIMORE, MD 21215-1492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP8948
MD
Other
Enumeration date
11/14/2018
Last updated
12/10/2021
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