Organization
MARK GOLDBERG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK GOLDBERG (THERAPIST)
(443) 835-6991
Entity
Organization
Contact information
Practice address
104 CHURCH LN # 103, PIKESVILLE, MD 21208-3786
(443) 835-6991
Mailing address
104 CHURCH LN # 103, PIKESVILLE, MD 21208-3786
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LGM568
MD
Other
Enumeration date
04/02/2016
Last updated
04/02/2016
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