Provider Demographics
NPI:1144231424
Name:PASSLEY, JOSEF A (LCPC)
Entity Type:Individual
Prefix:DR
First Name:JOSEF
Middle Name:A
Last Name:PASSLEY
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 OLD COLUMBIA RD
Mailing Address - Street 2:SUITE B-215
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-1703
Mailing Address - Country:US
Mailing Address - Phone:443-621-7260
Mailing Address - Fax:877-678-4563
Practice Address - Street 1:10015 OLD COLUMBIA RD
Practice Address - Street 2:SUITE B215
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1703
Practice Address - Country:US
Practice Address - Phone:443-621-7260
Practice Address - Fax:877-678-4563
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD1938101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health