Provider Demographics
NPI:1952719726
Name:PROGRESSIVE COUNSELING
Entity Type:Organization
Organization Name:PROGRESSIVE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-707-5786
Mailing Address - Street 1:10715 CHARTER DR
Mailing Address - Street 2:SUITE 270
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-2882
Mailing Address - Country:US
Mailing Address - Phone:410-707-5786
Mailing Address - Fax:410-992-7073
Practice Address - Street 1:10715 CHARTER DR
Practice Address - Street 2:SUITE 270
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2882
Practice Address - Country:US
Practice Address - Phone:410-707-5786
Practice Address - Fax:410-992-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty