Individual provider · Type 1 NPI
Brenda Massicott, LCSW
Mental Health Counselor · Owings Mills, MD
NPI number
1861834475
Active
Practice location
9401 White Cedar Dr, Apt 309
Owings Mills, MD 21117-7516
Mailing address
1450 Rancho Grande Dr.
Houston, TX 77049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | 172V00000X (MD) |
| Mental Health Counselor Primary | 101YM0800X | 101YM0800X (MD) |
Mental Health Counselor: Definition to come...
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About NPI 1861834475
Brenda Massicott, LCSW's National Provider Identifier is 1861834475, issued on Jul 24, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Owings Mills, MD. The record was last updated on Apr 10, 2023.