Provider Demographics
NPI:1912150848
Name:VALENTINE-BARBER, NIKOTHIA BRUCE (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:NIKOTHIA
Middle Name:BRUCE
Last Name:VALENTINE-BARBER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13123 FOX BOW DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-8676
Mailing Address - Country:US
Mailing Address - Phone:301-390-2244
Mailing Address - Fax:
Practice Address - Street 1:13123 FOX BOW DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-8676
Practice Address - Country:US
Practice Address - Phone:301-390-2244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2008-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDL1663101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional