Individual provider · Type 1 NPI

Princess Souvenir, LCPC

Mental Health Counselor · Burtonsville, MD

NPI number 1396174785 Active

Practice location

3909 National Dr Ste 100
Burtonsville, MD 20866-1192

Call (240) 755-8089 Map

Mailing address

11720 Beltsville Dr Ste 500-A4
Beltsville, MD 20705-3166

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Professional Counselor 101YP2500XLGP8593 (MD)
Mental Health Counselor Primary 101YM0800XLC10330 (MD)

Mental Health Counselor: Definition to come...

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About NPI 1396174785

Princess Souvenir, LCPC's National Provider Identifier is 1396174785, issued on Nov 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Burtonsville, MD. The record was last updated on May 22, 2024.