Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LGP11167 | MD |
NPI | 1003407180 |
---|---|
Provider Name | Brittany Horchner |
First Address | Hagerstown, MD 21740-5750 |
Second Address | Hagerstown, MD 21740-5750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/02/2021 |
Last Update Date | 01/02/2021 |