Organization
GREATER ALLEGANY COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE M CONNELL MS, LCPC (OWNER, LICENSED PSYCHOTHERAPIST)
(301) 268-6225
Entity
Organization
Contact information
Practice address
583 FREDERICK RD, STE 3A, CATONSVILLE, MD 21228-4697
(443) 341-6736
Mailing address
RR 2 BOX 214, RIDGELEY, WV 26753-9613
(301) 268-6225
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC2197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014898900
—
MD
Enumeration date
12/28/2011
Last updated
12/28/2011
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