Organization
CORNELIA ISRAEL, LCPC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORNELIA IOLANDA ISRAEL LCPC (MENTAL HEALTH THERAPIST)
(443) 802-7816
Entity
Organization
Contact information
Practice address
20 PLEASANT RIDGE DR, SUITE H, OWINGS MILLS, MD 21117-2560
(443) 802-7816
Mailing address
7 GRANARY DR, BALTIMORE, MD 21208-6367
(443) 802-7816
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4411
MD
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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