Organization
CONGRUENT COUNSELING SERVICES OLD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK D DONOVAN LCPC (PRESIDENT)
(410) 740-8066
Entity
Organization
Contact information
Practice address
7600 YORK RD # OLD, TOWSON, MD 21204-7500
(410) 740-8066
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
10/28/2021
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