Individual
COURTNEY ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 STAFFORD RD, PRINCE FREDERICK, MD 20678-3582
(410) 535-3079
Mailing address
41528 KALITAN LN, LEONARDTOWN, MD 20650-5855
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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