Individual
ALLISON TATE PASTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
7401 RITCHIE HWY, GLEN BURNIE, MD 21061-3101
(443) 250-6653
(410) 740-8068
Mailing address
642 THOMAS WAY, SEVERNA PARK, MD 21146-2832
(443) 250-6653
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LC3061
MD
101YP2500X
Professional Counselor
Primary
LC3061
MD
Other
Enumeration date
11/11/2016
Last updated
03/26/2018
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