Organization
COLUMBIA MENTAL HEALTH RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANICE STEVENSON PHD (OWNER/DIRECTOR)
(410) 730-6950
Entity
Organization
Contact information
Practice address
10632 LITTLE PATUXENT PKWY, SUITE 311, COLUMBIA, MD 21044-3273
(410) 730-6950
(410) 730-1411
Mailing address
10632 LITTLE PATUXENT PKWY, SUITE 311, COLUMBIA, MD 21044-3273
(410) 730-6950
(410) 730-1411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02058
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124408600
—
MD
01
—
W509 AND KEO7CO
CAREFIRST BLUECROSS
MD
Enumeration date
10/29/2007
Last updated
11/05/2009
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