| Drumgoole Counseling Services Inc | |
|
1212 E Churchville Rd Ste 301 Bel Air MD 21014-3416 | |
| (443) 640-4913 | |
| (206) 337-1640 |
| Full Name | Drumgoole Counseling Services Inc |
|---|---|
| Speciality | Counselor |
| Location | 1212 E Churchville Rd, Bel Air, Maryland |
| Authorized Official Name and Position | Jonathan Drumgoole (OWNER) |
| Authorized Official Contact | 4436404913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drumgoole Counseling Services Inc 1212 E Churchville Rd Ste 301 Bel Air MD 21014-3416 Ph: () - | Drumgoole Counseling Services Inc 1212 E Churchville Rd Ste 301 Bel Air MD 21014-3416 Ph: (443) 640-4913 |
| NPI Number | 1053706218 |
|---|---|
| Provider Enumeration Date | 04/03/2015 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Medicare PECOS PAC ID | 4082055728 |
|---|---|
| Medicare Enrollment ID | O20240513003855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053706218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC4145 (Maryland) | Primary |
| Provider Name | Jonathan Earl Drumgoole |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619250628 PECOS PAC ID: 5991010514 Enrollment ID: I20240525000442 |
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