| Kathleen Dolan, LCPC | |
|
2750 Thornbrook Rd, Ellicott City, MD 21042-7804 | |
| (443) 745-3115 | |
| Not Available |
| Full Name | Kathleen Dolan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2750 Thornbrook Rd, Ellicott City, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750032744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC1481 (Maryland) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221213001514 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Dolan, LCPC 2750 Thornbrook Rd, Ellicott City, MD 21042-7804 Ph: (443) 745-3115 | Kathleen Dolan, LCPC 2750 Thornbrook Rd, Ellicott City, MD 21042-7804 Ph: (443) 745-3115 |
Mr. Robert Daniel Robinson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4785 Dorsey Hall Dr, Ellicott City, MD 21042 Phone: 410-531-5087 Fax: 410-997-2059 | |
Corinne Heiliger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3565 Ellicott Mills Dr Ste 205, Ellicott City, MD 21043 Phone: 443-832-3537 | |
Ms. Judy Ellen Gordon, L.M.H.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5006 Dorsey Hall Dr, C-2, Ellicott City, MD 21042 Phone: 443-604-2741 | |
Danielle Tobin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5300 Dorsey Hall Dr Ste 203, Ellicott City, MD 21042 Phone: 443-812-0889 | |
Brie Hardeman, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8181 Frederick Rd, Fl 2, Ellicott City, MD 21043 Phone: 410-505-0062 | |
Nicole Jackson, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 787 Oella Ave, Ellicott City, MD 21043 Phone: 443-720-0090 | |
Christina L Mazzi, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5116 Dorsey Hall Dr Ste B, Ellicott City, MD 21042 Phone: 410-995-8274 |