Individual
LISA NATANYA REDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
701 YALE AVE, BALTIMORE, MD 21229-4546
(410) 500-7587
Mailing address
701 YALE AVE, BALTIMORE, MD 21229-4546
(410) 500-7587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12163
MD
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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