Individual
MS. LISA HARRIET KORNBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LCADC
Contact information
Practice address
5901 FALLS RD, BALTIMORE, MD 21209-3725
(443) 869-5716
Mailing address
5901 FALLS RD, BALTIMORE, MD 21209-3725
(443) 590-3701
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA326
MD
101YM0800X
Mental Health Counselor
LC0313
MD
101YP2500X
Professional Counselor
Primary
LCO313
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016808400
—
MD
Enumeration date
08/10/2006
Last updated
11/20/2023
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