Provider Demographics
NPI:1417555707
Name:HACK, BRITTNEY (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:HACK
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 EISENHOWER DR # 1026
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-5221
Mailing Address - Country:US
Mailing Address - Phone:443-274-7578
Mailing Address - Fax:
Practice Address - Street 1:7801 YORK RD STE 327
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7449
Practice Address - Country:US
Practice Address - Phone:443-274-7578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10564101YP2500X
MDLC12712101YP2500X
PAPC015490P101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional