Provider Demographics
NPI:1780206128
Name:BRASSELL, BRITTANY MARIE (MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:BRITTANY
Middle Name:MARIE
Last Name:BRASSELL
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 BROOKEBURY DR APT 1C
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3575
Mailing Address - Country:US
Mailing Address - Phone:203-710-0504
Mailing Address - Fax:
Practice Address - Street 1:1812 ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21205-1546
Practice Address - Country:US
Practice Address - Phone:410-614-1075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00000170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS