Olivia Braganza, LGPC
Counselor, Mental Health in Baltimore, MD. Individual provider (NPI-1).
NPI number1942008362
StatusActive
Last updated in NPPESMar 3, 2025
Details
- NPI
- 1942008362
- Entity type
- Individual (NPI-1)
- Name
- Olivia Braganza
- Credential
- LGPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2025
- Certification date
- Mar 3, 2025
- Last updated
- Mar 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LGP16229 | MD | Yes |
Practice location
5820 York Rd Ste 201Baltimore, MD 21212-3620
Phone 410-800-2169
Mailing address
5820 York Rd Ste 201Baltimore, MD 21212-3620
Phone 410-800-2169
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