Mark Conrad, LCPC | |
18714 N Village, Hagerstown, MD 21742-2454 | |
(301) 733-0330 | |
(301) 733-4038 |
Full Name | Mark Conrad |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 18714 N Village, Hagerstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235546284 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC1505 (Maryland) | Primary |
Entity Name | Brook Lane Behavioral Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538647748 PECOS PAC ID: 5991055022 Enrollment ID: O20180911000549 |
Mailing Address | Practice Location Address |
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Mark Conrad, LCPC 13121 Brook Lane, Hagerstown, MD 21742-1514 Ph: (301) 733-0331 | Mark Conrad, LCPC 18714 N Village, Hagerstown, MD 21742-2454 Ph: (301) 733-0330 |
Mr. William Thomas Menter, CCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3386 Fax: 240-313-3316 | |
April D Lehman, L.G.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 13114 Pennsylvania Ave, Hagerstown, MD 21742 Phone: 240-313-3291 Fax: 240-313-3239 | |
Brittany Horchner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 E Antietam St Ste 307a, Hagerstown, MD 21740 Phone: 240-513-6127 | |
Ryann Fiery, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 N Burhans Blvd, Hagerstown, MD 21740 Phone: 301-791-2660 | |
Allen L Twigg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11116 Medical Campus Rd, Hagerstown, MD 21742 Phone: 301-766-7600 Fax: 301-766-7702 | |
Mrs. Georgette Geraldine Hughes, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18714 N Village, Hagerstown, MD 21742 Phone: 301-733-0331 Fax: 301-733-4038 | |
Brittany Kuhn, LGPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Public Sq Ste 205, Hagerstown, MD 21740 Phone: 240-724-1437 |