Individual
MICHELLE KATHERINE PRIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, ATC/LAT
Contact information
Practice address
125 RUTHSBURG RD., CENTREVILLE, MD 21617
(410) 829-8588
Mailing address
6190 ROCK HALL RD, ROCK HALL, MD 21661-2007
(410) 739-6968
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC9108
MD
2255A2300X
Athletic Trainer
Primary
A0000014
MD
Other
Enumeration date
04/03/2015
Last updated
01/27/2022
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