Carrie Melissa Booth, LCPC

Individual provider Active NPI Professional Counselor · Potomac, MD

NPI 1225354590 · NPPES record last updated Apr 12, 2010

Key facts

NPI
1225354590
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC2962 (MD)
Practice address
8320 Snug Hill LN
Potomac, MD 20854-4057
Phone
(301) 518-3814
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC2962MDMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2962 MD Yes

Addresses

Primary practice location

8320 Snug Hill LN
Potomac, MD 20854-4057

Mailing address

8320 Snug Hill LN
Potomac, MD 20854-4057
Phone (301) 518-3814

Other providers in Potomac, MD

All providers in Potomac, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.