Individual provider · Type 1 NPI
Amy Mandelberg
Professional Counselor · Towson, MD
NPI number
1760153407
Active
Practice location
6501 N Charles St
Towson, MD 21204-6819
Mailing address
1430 Lawrence St Apt 407
Baltimore, MD 21230-5595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LGP11936 (MD) |
Professional Counselor: Definition to come...
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About NPI 1760153407
Amy Mandelberg's National Provider Identifier is 1760153407, issued on Sep 22, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Towson, MD. The record was last updated on Sep 22, 2021.