Healthcare Provider Details

I. General information

NPI: 1801628318
Provider Name (Legal Business Name): DARREN JAMES MCGREGOR LCMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2024
Last Update Date: 08/14/2024
Certification Date: 08/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W MADISON ST STE 11
BALTIMORE MD
21201-2313
US

IV. Provider business mailing address

827 PARK AVE
BALTIMORE MD
21201-4806
US

V. Phone/Fax

Practice location:
  • Phone: 443-438-7863
  • Fax:
Mailing address:
  • Phone: 203-610-3922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLCM203
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: