Organization
THE STONE FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE DERISO LCPC (COUNSELOR)
(410) 296-2004
Entity
Organization
Contact information
Practice address
320 E TOWSONTOWN BLVD, SUITE 2W, TOWSON, MD 21286-5318
(410) 296-2004
(410) 296-0094
Mailing address
320 E TOWSONTOWN BLVD, SUITE 2W, TOWSON, MD 21286-5318
(410) 296-2004
(410) 296-0094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3622
MD
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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