Provider Demographics
NPI:1053706218
Name:DRUMGOOLE COUNSELING SERVICES INC
Entity type:Organization
Organization Name:DRUMGOOLE COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRUMGOOLE
Authorized Official - Suffix:
Authorized Official - Credentials:NCC, LCPC
Authorized Official - Phone:443-640-4913
Mailing Address - Street 1:1212 E CHURCHVILLE RD
Mailing Address - Street 2:STE 301
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3416
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:206-337-1640
Practice Address - Street 1:1212 E CHURCHVILLE RD
Practice Address - Street 2:STE 301
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3416
Practice Address - Country:US
Practice Address - Phone:443-640-4913
Practice Address - Fax:206-337-1640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4145101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty