Staci Burrough
Staci Burrough is a Mental Health Counselor in Upper Marlboro, Maryland. Licensed in Maryland. Registered with an NPI since 2022.
- Licensed in
- MD
- In the registry since
- 2022
Practice location Address checks out
11510 Pegasus CtUpper Marlboro, MD 20772-7823
Phone: (240) 221-1617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence LGP11512 (MD) |
|---|
Record details
| NPI number | 1538801782 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 8, 2022 |
| Last updated in NPPES | April 8, 2022 |
| Certification date | April 8, 2022 |
| Mailing address | 11510 Pegasus Ct, Upper Marlboro, MD 20772-7823 |
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