Individual
BRIANA NICOLE MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1300 I ST NW, WASHINGTON, DC 20005-3314
(202) 810-9249
Mailing address
6218 NILE PL APT F, GREENSBORO, NC 27409-2166
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00684
DC
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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