Individual
YISROEL MORDECHAI LYSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT, LCMFT
Contact information
Practice address
1314 BEDFORD AVE STE 113, BALTIMORE, MD 21208-3737
(203) 706-8747
Mailing address
3607 BANCROFT RD, BALTIMORE, MD 21215-3229
(443) 386-3636
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
002588
CT
106H00000X
Marriage & Family Therapist
LCM987
MD
Other
Enumeration date
03/12/2019
Last updated
09/12/2024
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