Individual
MRS. CONSTANCE W PULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW C
Contact information
Practice address
25800 AVONIA LN, ROYAL OAK, MD 21662-1417
(410) 822-6501
(410) 334-6960
Mailing address
25800 AVONIA LN, ROYAL OAK, MD 21662-1417
(410) 822-6501
(410) 334-6960
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
06299
MD
1041C0700X
Clinical Social Worker
Primary
06299
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007
CAREFIRST FEDERAL PIN
DC
01
—
100067559001
AMERICAN PSYCH SYSTEM
—
01
—
2101679
UNITEDHEALTHCARE MAMSI PI
—
01
—
259147000
MAGELLAN
MD
01
—
352441000
MAGELLAN PIN
MD
01
—
517251
UHC MAMSI GROUP
—
01
—
52742702
CAREFIRST BCBS PIN
MD
05
—
609550002
—
MD
05
—
609550005
—
MD
01
—
6293528
UNITED BEHAVIOR HEALTH
—
01
—
723622
NCPPO PIN
—
01
—
LM49EA
CAREFIRST BCBS
MD
01
—
R968
CAREFIRST FEDERAL GROUP
DC
Enumeration date
10/05/2006
Last updated
01/24/2022
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