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Individual

MS. BRIANNA NICOLE CHARLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC

Contact information

Practice address
30453 LINDEN AVE, PRINCESS ANNE, MD 21853-1155
(302) 331-6371
Mailing address
30453 LINDEN AVE, PRINCESS ANNE, MD 21853-1155
(302) 331-6371

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP13193
MD
101YM0800X
Mental Health Counselor
Primary
LC17263
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
119591300
MD
Enumeration date
10/07/2022
Last updated
04/08/2026
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