Individual
ELYSE GREENWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
22 N COURT ST, WESTMINSTER, MD 21157-5110
(410) 876-1233
(410) 876-4761
Mailing address
4623 FALLS RD, BALTIMORE, MD 21209-4914
(410) 366-1980
(410) 366-8530
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC1201
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400084600
—
MD
01
—
577582000
MAGELLAN HEALTHCARE
MD
Enumeration date
06/09/2008
Last updated
10/16/2008
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