Individual provider · Type 1 NPI
Suzanne Brandenburg, L.C.A.D.C, L.C.P.C.
Addiction (Substance Use Disorder) Counselor · Lavale, MD
NPI number
1174858971
Active
Practice location
1214 Lavale Ave
Lavale, MD 21502-7516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | LC2332 (MD) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LCA392 (MD) |
| Mental Health Counselor | 101YM0800X | LC2332 (MD) |
| Professional Counselor | 101YP2500X | LC2332 (MD) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1174858971
Suzanne Brandenburg, L.C.A.D.C, L.C.P.C.'s National Provider Identifier is 1174858971, issued on Oct 12, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lavale, MD. The record was last updated on Oct 12, 2009.