Individual
BRANDI GOSS BURCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13935 POINT LOOKOUT RD, RIDGE, MD 20680-3220
(919) 268-6900
Mailing address
13935 POINT LOOKOUT RD, RIDGE, MD 20680-3220
(919) 268-6900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
7773
NC
101Y00000X
Counselor
LC14190
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC14190
MD
101YM0800X
Mental Health Counselor
7773
NC
101YM0800X
Mental Health Counselor
LC14190
MD
101YP2500X
Professional Counselor
Primary
7773
NC
101YP2500X
Professional Counselor
LC14190
MD
Other
Enumeration date
09/26/2012
Last updated
09/15/2025
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