Organization
CONGRUENT COUNSELING SERVICES LLC
Active
Other names
CCS-Frederick
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DAVID DONOVAN LCPC, LCADC (CFO)
(410) 740-8066
Entity
Organization
Contact information
Practice address
22 S MARKET ST, FREDERICK, MD 21701-5570
(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
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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