Organization
MCNALLY AND FORD CLINICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RANESA LEE MCNALLY LCSW-C (PARTNER)
(410) 602-0102
Entity
Organization
Contact information
Practice address
3635 OLD COURT RD, SUITE 208, BALTIMORE, MD 21208-3915
(410) 602-0102
(410) 602-8492
Mailing address
3635 OLD COURT RD, SUITE 208, BALTIMORE, MD 21208-3915
(410) 602-0102
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12312
MD
101YM0800X
Mental Health Counselor
12888
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005761400
—
MD
01
—
3582859
AETNA HMO
MD
05
—
404615300
—
MD
05
—
409235000
—
MD
01
—
7479585
AETNA NON HMO RANESA MCNA
MD
01
—
J6710001
BLUE CROSS/BLUE SHIELD
MD
Enumeration date
10/17/2006
Last updated
05/22/2009
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