Individual provider · Type 1 NPI

Shivon Massenburg, NCC

Mental Health Counselor · Crofton, MD

NPI number 1336651090 Active

Practice location

2138 Priest Bridge Ct Ste 1
Crofton, MD 21114-2463

Mailing address

PO Box 1425
Bowie, MD 20717-1425

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1336651090

Shivon Massenburg, NCC's National Provider Identifier is 1336651090, issued on Nov 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Crofton, MD. The record was last updated on Jun 2, 2024.