Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | LCA320 | MD |
Y | 101YP2500X | Professional Counselor | LC0097 | MD |
NPI | 1013068451 |
---|---|
Provider Name | Mrs. Patricia Gillen Doane |
First Address | Rockville, MD 20854-3503 |
Second Address | Rockville, MD 20854-3503 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2007 |
Last Update Date | 12/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2134491 | MAMSI (01) | MD |
252910-000 | MAGELLAN (01) | MD |
354333 | MHN (01) | MD |
354333 | TRI CARE (01) | MD |
409997400 | (05) | MD |
52-1336890 | PCHS (01) | MD |
52-1336890 | UBH (01) | MD |
5546090 | AETNA (01) | MD |
633623 | NCPPO (01) | MD |
F127-0003 | BLUECROSSBLUESHIELD (01) | DC |
LVT260915801 | BCBS (01) | MD |
PVPB220350 | APS (01) | MD |