Organization Name: | DRUMGOOLE COUNSELING SERVICE |
NPI Number: | 1053706218 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRI FIELDS (BILLING MANAGER) |
Mailing Address: | 1212 E Churchville Rd Ste 301 Bel Air |
State: | MD US |
Postal Code: | 210143416 |
Phone Number: | 4436404913 |
Fax Number: | 2063371640 |
NPI Enumeration Date: | 04/03/2015 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC4145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |