Individual
MARIANA IZRAELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
201 E BALTIMORE ST, BALTIMORE, MD 21202-1535
(410) 649-0529
Mailing address
7 REDARE CT, PARKVILLE, MD 21234-1867
(420) 412-0496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1737
MD
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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