Individual
MS. BRENDA BURRUSS CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6391 ROWANBERRY DR APT 414, ELKRIDGE, MD 21075-7032
(404) 550-1684
(240) 366-1774
Mailing address
324 MAIN ST UNIT 466, LAUREL, MD 20725-7520
(404) 550-1684
(240) 366-1774
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC11224
MD
Other
Enumeration date
03/19/2020
Last updated
01/03/2022
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