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Individual

MALGORZATA NUSSBAUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT, LAC

Contact information

Practice address
2018 ROCK SPRING RD STE A6, FOREST HILL, MD 21050-2631
(410) 838-2493
(410) 838-2597
Mailing address
2018 ROCK SPRING RD STE A6, FOREST HILL, MD 21050-2631
(410) 838-2493
(410) 838-2597

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000244
CO
101YM0800X
Mental Health Counselor
Primary
LCM665
MD
106H00000X
Marriage & Family Therapist
0001347
CO

Other

Enumeration date
02/20/2017
Last updated
05/15/2020
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