| Mcdonald Clinical Services, Llc | |
|
22776 Three Notch Rd Ste 200 Lexington Park MD 20653-3370 | |
| (301) 750-2659 | |
| (888) 579-0307 |
| Full Name | Mcdonald Clinical Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 22776 Three Notch Rd Ste 200, Lexington Park, Maryland |
| Authorized Official Name and Position | Doris Mcdonald (OWNER) |
| Authorized Official Contact | 3017502659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdonald Clinical Services, Llc 11760 Cornfield Dr Lusby MD 20657-2835 Ph: (301) 750-2659 | Mcdonald Clinical Services, Llc 22776 Three Notch Rd Ste 200 Lexington Park MD 20653-3370 Ph: (301) 750-2659 |
| NPI Number | 1750127403 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Medicare PECOS PAC ID | 9335684083 |
|---|---|
| Medicare Enrollment ID | O20240717003173 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750127403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Doris Jean Mcdonald |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245421601 PECOS PAC ID: 9739408204 Enrollment ID: I20231228003175 |
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