Individual
TRACY BRENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
14450 HANOVER PIKE, REISTERSTOWN, MD 21136
(410) 569-9497
(410) 569-0094
Mailing address
2227 OLD EMMORTON RD, SUITE 119, BEL AIR, MD 21015-6187
(410) 560-9497
(410) 569-0094
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4717
MD
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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