Individual
MICHELLE HAMILTON BRONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, LPC, LMHC, CT
Contact information
Practice address
8261 BUCKSPARK LN W, POTOMAC, MD 20854-4232
(914) 806-6308
Mailing address
8261 BUCKSPARK LN W, POTOMAC, MD 20854-4232
(914) 806-6308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
005638
NY
101YM0800X
Mental Health Counselor
Primary
LC10809
MD
101YP2500X
Professional Counselor
0701006824
VA
101YP2500X
Professional Counselor
PRC14859
DC
Other
Enumeration date
10/01/2013
Last updated
03/30/2021
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