Provider Demographics
NPI:1750042495
Name:MACDONALD, SARAH FRANCES HEARN (CSC-AD)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:FRANCES HEARN
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:CSC-AD
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:FRANCES
Other - Last Name:HEARN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSC-AD
Mailing Address - Street 1:8600 LASALLE RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:410-773-0500
Mailing Address - Fax:
Practice Address - Street 1:8600 LASALLE RD
Practice Address - Street 2:SUITE 212
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-773-0500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDSC2694101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)