Individual
KATRINA CHARLENE BROUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(410) 453-9553
Mailing address
1925 GREENSPRING DR, TIMONIUM, MD 21093-4128
(443) 453-9553
(410) 612-1488
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC10193
MD
Other
Enumeration date
08/21/2018
Last updated
01/29/2020
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