Provider Demographics
NPI:1013426071
Name:DOLAN, DONALD EDWARD (LCPC)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:EDWARD
Last Name:DOLAN
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:PO BOX 50186
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-4186
Mailing Address - Country:US
Mailing Address - Phone:410-657-5884
Mailing Address - Fax:
Practice Address - Street 1:711 W 40TH ST STE 425
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2135
Practice Address - Country:US
Practice Address - Phone:410-657-5884
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-21
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8031101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional