Doctor Name: | JADRANKA MILOVANOVIC |
NPI Number: | 1003921248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | LC1778 |
Business Practice Address: | 500 N Rolling Rd Catonsville, MD - 212284134 |
Business Phone Number: | 4107880300 |
Business Fax Number: | |
Mailing Address: | 10632 Little Patuxent Pkwy Ste 343, COLUMBIA |
State: | MD |
Postal Code: | 210446239 |
Phone Number: | 4439554592 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2006 |
NPI Last Update Date: | 09/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP1600X |
License Number: | LC1778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Pastoral |
Taxonomy Definition: |