Individual
MS. COURTNEY HERCENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
2401 LIBERTY HEIGHTS AVE, SUITE 111, BALTIMORE, MD 21215-8019
(410) 383-8300
Mailing address
2401 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-8019
(240) 426-3299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
14066
MD
Other
Enumeration date
10/29/2009
Last updated
05/12/2016
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