Individual
MRS. LISA SARVINA HANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LGPC, CPC-AD
Contact information
Practice address
1029 E BALTIMORE ST, BALTIMORE, MD 21202-4705
(410) 675-7500
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AD1793
MD
101YM0800X
Mental Health Counselor
Primary
LC5992
MD
101YP2500X
Professional Counselor
LC5992
MD
Other
Enumeration date
04/19/2011
Last updated
01/22/2024
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