Individual
MR. MARK DAVID DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC, LCADC
Contact information
Practice address
10630 LITTLE PATUXENT PKWY STE 209, COLUMBIA, MD 21044-6278
(410) 740-8066
(410) 740-8068
Mailing address
10630 LITTLE PATUXENT PKWY, SUITE 209, COLUMBIA, MD 21044-3264
(410) 740-8066
(410) 740-8068
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA414
MD
101YM0800X
Mental Health Counselor
LC0912
MD
101YP2500X
Professional Counselor
Primary
LC0912
MD
Other
Enumeration date
08/11/2005
Last updated
02/09/2021
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