Individual
MARK GOLDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10751 FALLS RD STE 439, LUTHERVILLE, MD 21093-4580
(443) 835-6991
Mailing address
10751 FALLS RD STE 439, LUTHERVILLE, MD 21093-4580
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942663398
NPPES
—
Enumeration date
11/16/2020
Last updated
11/16/2020
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