Individual
LISA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
104 CHURCH LN STE 203, PIKESVILLE, MD 21208-3845
(410) 484-3037
Mailing address
6606 KILMARNOCH DR, CATONSVILLE, MD 21228-3410
(443) 280-0638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC1596
MD
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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