| Mcnally And Ford Clinical Services | |
|
3635 Old Court Rd Suite 208 Baltimore MD 21208-3915 | |
| (410) 602-0102 | |
| (410) 602-8492 |
| Full Name | Mcnally And Ford Clinical Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3635 Old Court Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Ranesa Lee Mcnally (PARTNER) |
| Authorized Official Contact | 4106020102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcnally And Ford Clinical Services 3635 Old Court Rd Suite 208 Baltimore MD 21208-3915 Ph: (410) 602-0102 | Mcnally And Ford Clinical Services 3635 Old Court Rd Suite 208 Baltimore MD 21208-3915 Ph: (410) 602-0102 |
| NPI Number | 1841370152 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 05/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841370152 | NPI | - | NPPES |
| 409235000 | Medicaid | MD | |
| 005761400 | Medicaid | MD | |
| 3582859 | Other | MD | AETNA HMO |
| 404615300 | Medicaid | MD | |
| 7479585 | Other | MD | AETNA NON HMO RANESA MCNA |
| J6710001 | Other | MD | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 12312 (Maryland) | Primary |
| 101YM0800X | Counselor - Mental Health | 12888 (Maryland) | Secondary |
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