Individual
MRS. CORNELIA IOLANDA ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7 GRANARY DR, BALTIMORE, MD 21208-6367
(410) 484-6266
Mailing address
7 GRANARY DR, BALTIMORE, MD 21208-6367
(410) 484-6266
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4411
MD
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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