Provider Demographics
NPI:1326620931
Name:BRIKA, JOELLE PEACE
Entity Type:Individual
Prefix:
First Name:JOELLE
Middle Name:PEACE
Last Name:BRIKA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1905 CRACK WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5600
Mailing Address - Country:US
Mailing Address - Phone:240-505-9718
Mailing Address - Fax:
Practice Address - Street 1:1905 CRACK WILLOW CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-5600
Practice Address - Country:US
Practice Address - Phone:240-505-9718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor