Individual
NICOLE MARIANNE BRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 KINTORE CIR APT 203, ODENTON, MD 21113-4611
(787) 464-5395
Mailing address
4401 DAVIS FAIRFAX LN, WOODBRIDGE, VA 22192-5580
(787) 464-5395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701015468
VA
Other
Enumeration date
02/18/2026
Last updated
03/15/2026
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