| Jan Nolan Lcsw-c Cpc Llc | |
|
222 Bosley Ave Suite A-2 Towson MD 21204-4328 | |
| (410) 591-9916 | |
| (410) 823-7853 |
| Full Name | Jan Nolan Lcsw-c Cpc Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 222 Bosley Ave, Towson, Maryland |
| Authorized Official Name and Position | Jan Nolan (OWNER) |
| Authorized Official Contact | 4105919916 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Nolan Lcsw-c Cpc Llc 222 Bosley Ave Suite A-2 Towson MD 21204-4328 Ph: (410) 591-9916 | Jan Nolan Lcsw-c Cpc Llc 222 Bosley Ave Suite A-2 Towson MD 21204-4328 Ph: (410) 591-9916 |
| NPI Number | 1962753905 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962753905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 13356 (Maryland) | Primary |
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