MEDICARE: SARAH SLOANE DONOVAN LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LC4704	MD

General Provider Information

NPI Number	:	1558824144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH SLOANE DONOVAN LCPC

Provider Business Mailing Address
First Line	:	149 N POTOMAC ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21224-1338
Country	:	US
Telephone Number	:	410-935-9107
Fax Number	:

Provider Business Practice Location Address
First Line	:	1447 YORK RD STE 701
Second Line	:
City	:	LUTHERVILLE
State	:	MD
Zip	:	21093-6089
Country	:	US
Telephone Number	:	410-298-8489
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	07/23/2019

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Directions to “ SARAH SLOANE DONOVAN LCPC” Practice Location

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