Provider Demographics
NPI:1053426478
Name:HOFFMAN, LISA J (LCPC)
Entity type:Individual
Prefix:MISS
First Name:LISA
Middle Name:J
Last Name:HOFFMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10806 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117
Mailing Address - Country:US
Mailing Address - Phone:410-998-9132
Mailing Address - Fax:410-902-4678
Practice Address - Street 1:10806 REISTERSTOWN RD
Practice Address - Street 2:SUITE 1B
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117
Practice Address - Country:US
Practice Address - Phone:410-998-9132
Practice Address - Fax:410-902-4678
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD1287101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD64226801OtherCAREFIRST BCBS
MD237107OtherCOM PSYCH