Individual
THERESA SIOBHAN DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
804 LANDMARK DR STE 118, GLEN BURNIE, MD 21061-4486
(410) 863-7213
(410) 863-7205
Mailing address
804 LANDMARK DR STE 118, GLEN BURNIE, MD 21061-4486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC4516
MD
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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