Individual provider · Type 1 NPI

Mark David Donovan, LCPC, LCADC

Professional Counselor · Columbia, MD

NPI number 1912909730 Active

Practice location

10630 Little Patuxent Pkwy Ste 209
Columbia, MD 21044-6278

Fax (410) 740-8068

Mailing address

10630 Little Patuxent Pkwy, Suite 209
Columbia, MD 21044-3264

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLCA414 (MD)
Mental Health Counselor 101YM0800XLC0912 (MD)
Professional Counselor Primary 101YP2500XLC0912 (MD)

Professional Counselor: Definition to come...

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About NPI 1912909730

Mark David Donovan, LCPC, LCADC's National Provider Identifier is 1912909730, issued on Aug 11, 2005. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Columbia, MD. The record was last updated on Feb 9, 2021.