Individual
THOMAS LISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Contact information
Practice address
200 E JOPPA RD STE 200, TOWSON, MD 21286-3107
(443) 862-2646
Mailing address
200 E JOPPA RD STE 200, TOWSON, MD 21286-3107
(443) 862-2646
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC004045
PA
101YP2500X
Professional Counselor
Primary
PC004045
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50058541
CAPITAL BLUE CROSS
PA
01
—
651006-01
BC/BS OF MD. CARE FIRST
PA
Enumeration date
06/16/2006
Last updated
10/11/2019
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