Individual provider · Type 1 NPI

Breatney Charles, INTERN

Professional Counselor · Gaithersburg, MD

NPI number 1609584010 Active

Practice location

18112 Kodella Ct
Gaithersburg, MD 20877-3765

Call (240) 701-1730 Map

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLGP16959 (MD)

Professional Counselor: Definition to come...

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About NPI 1609584010

Breatney Charles, INTERN's National Provider Identifier is 1609584010, issued on Nov 14, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gaithersburg, MD. The record was last updated on Oct 19, 2026.