NPI 1033462627

Tracy Brenton, LCPC

Practitioner Professional Counselor Reisterstown, MD

Practice location

Address: 14450 Hanover Pike, Reisterstown, MD 21136
Phone: (410) 569-9497
Fax: (410) 569-0094
Mailing address: 2227 Old Emmorton Rd Suite 119, Bel Air, MD 21015-6187

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LC4717 (MD)

Other Counselor providers in Maryland →

Registry record

NPI: 1033462627
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Oct 2012
Record last updated: 19 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.