Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Breatney Charles, INTERN

Individual provider Professional Counselor · NPI 1609584010

Breatney Charles, INTERN is a Professional Counselor in Gaithersburg, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2022

Practice location Address checks out

18112 Kodella Ct
Gaithersburg, MD 20877-3765
Phone: (240) 701-1730
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LGP16959 (MD)

Record details

NPI number1609584010
Entity typeIndividual (Type 1)
GenderFemale
Credentials INTERN
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESOctober 19, 2026
Certification dateOctober 19, 2026

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