Donovan, Mark David

Donovan, Mark David is an sole proprietor health care provider with primary practice located at 10630 Little Patuxent Pkwy Ste 209 , Columbia MD 21044-6278. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Donovan, Mark David can be contacted via phone (410) 740-8066.

Contact Information

Primary practice address
10630 Little Patuxent Pkwy Ste 209 Columbia MD 21044-6278
Phone: (410) 740-8066
Fax: (410) 740-8068
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA414 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC0912 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC0912 Maryland

Profile Details

NPI number 1912909730
LBN Legal business name Donovan, Mark David
Credentials LCPC, LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 11th, 2005
Last updated Feb 9th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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