Individual
MARISSA BLOCK KALKSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCPC
Contact information
Practice address
200 E JOPPA RD STE 400, TOWSON, MD 21286-3109
(410) 828-0101
(410) 828-6262
Mailing address
502 CHARLES STREET AVE, TOWSON, MD 21204-4206
(636) 399-6160
(443) 233-0231
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10425
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LGP8630
BCBS
MD
Enumeration date
01/14/2019
Last updated
06/14/2023
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