| Organization Name: | CONGRUENT COUNSELING SERVICES |
| NPI Number: | 1053718981 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK D DONOVAN (PRESIDENT) |
| Mailing Address: | 804 Landmark Dr Ste 118 Glen Burnie |
| State: | MD US |
| Postal Code: | 210614486 |
| Phone Number: | 4107408066 |
| Fax Number: | 4107408068 |
| NPI Enumeration Date: | 11/20/2014 |
| NPI Last Update Date: | 12/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |