Organization
INTEGRATIVE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D DONOVAN LCPC, LCADC (PRESIDENT)
(410) 740-8067
Entity
Organization
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, STE 209A, COLUMBIA, MD 21044-6278
(410) 740-8067
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY, STE 209A, COLUMBIA, MD 21044-6278
(410) 740-8067
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
05/07/2007
Last updated
02/19/2021
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