Individual
BRANDON RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4303 W VILLAGE AVE APT 3002, CAMP SPRINGS, MD 20746-5232
(202) 630-4446
Mailing address
2110 PRIEST BRIDGE DR STE 1, CROFTON, MD 21114-2472
(443) 937-7089
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11372
MD
103TC0700X
Clinical Psychologist
Primary
07418
MD
Other
Enumeration date
07/12/2022
Last updated
04/14/2026
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