Individual
COURTNEY GROSSNICKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11533 WOLFSVILLE RD, MYERSVILLE, MD 21773-8805
(240) 355-2443
Mailing address
11533 WOLFSVILLE RD, MYERSVILLE, MD 21773-8805
(240) 355-2443
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0701008061
VA
101YM0800X
Mental Health Counselor
Primary
LC11376
MD
Other
Enumeration date
04/07/2017
Last updated
07/14/2021
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