IndividualActive
Nancy Brisebois-Good, LCPC, NCC
NPI 1619489960 · Group Psychotherapy Psychologist · Rockville, MD
Provider details
- NPI number
- 1619489960
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- LCPC, NCC
- Sex
- Female
- Sole proprietor
- Yes
- License
- LC5171 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
6131 Executive Blvd
Rockville, MD 20852-3901
Phone: (240) 205-9700
Approximate (ZIP-level) locationGet directions
Mailing address
13238 Executive Park Ter
Germantown, MD 20874-2640
Registry dates
- Enumerated
- 2017-10-26
- Last updated
- 2017-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.