MEDICARE: RISA LYNNE DAVIS-GANEL LCMFT

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	106H00000X	Marriage & Family Therapist	LCM033	MD

General Provider Information

NPI Number	:	1679599583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RISA LYNNE DAVIS-GANEL LCMFT

Provider Business Mailing Address
First Line	:	6556 WALNUT GRV
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-4131
Country	:	US
Telephone Number	:	443-865-0298
Fax Number	:

Provider Business Practice Location Address
First Line	:	3355 SAINT JOHNS LN
Second Line	:	SUITE F
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21042-2605
Country	:	US
Telephone Number	:	443-865-0298
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1194722363 — BARBARA JEAN THOMPSON PHD
Practice Location Address:

3355 SAINT JOHNS LN
ELLICOTT CITY, MD
21042-2605

Practice Phone: 443-629-3761
Practice Fax:

1285617506 — JEFFREY SOULEN M.D.
Practice Location Address:

3355 SAINT JOHNS LN , STE F
ELLICOTT CITY, MD
21042-2605

Practice Phone: 410-465-2056
Practice Fax: 667-401-6143

1689625204 — DR. JEANNE C SERAFIN M.D.
Practice Location Address:

3355 SAINT JOHNS LN
ELLICOTT CITY, MD
21042-2605

Practice Phone: 410-461-9003
Practice Fax: 410-461-9003

1255354353 — LAURA R, BROOKS MSW
Practice Location Address:

3355 SAINT JOHNS LN # 3
ELLICOTT CITY, MD
21042-2605

Practice Phone: 443-956-7282
Practice Fax:

1265512933 — ELLEN LURIA
Practice Location Address:

3355 SAINT JOHNS LN , SUITE F
ELLICOTT CITY, MD
21042-2605

Practice Phone: 410-465-9366
Practice Fax: 410-480-0110

1720147374 — DR. MARIANNE O'LEARY PH.D.
Practice Location Address:

3355 SAINT JOHNS LN , SUITE F
ELLICOTT CITY, MD
21042-2605

Practice Phone: 410-465-5520
Practice Fax: 410-480-0110

Directions to “ RISA LYNNE DAVIS-GANEL LCMFT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.