Joann B Proctor | Bowie, MD • PECOS Search

Joann B Proctor

Counselor

Behavioral Health & Social Service Providers

3060 Mitcheville Road, Suite 212, Bowie, MD 20716

(301) 218-5492 (301) 218-7333

PECOS Enrollment

Based on the most recent information from CMS, provider Joann B Proctor does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1396868329
Provider Type
Individual
Full Name
Proctor, Joann B
Title
Mrs.
Credential
LC2383

Gender
Female
Sole Proprietor
No
Enumeration Date
4/6/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3060 Mitcheville Road, Suite 212, Bowie, MD 20716

Unlisted Fax

Mailing Location

15406 Jennings Lane, Bowie, MD 20744

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License LC2383 Maryland