Individual
MS. ANNE MARIE PORRETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2303 BELAIR ROAD, STE B, FALLSTON, MD 21047-2104
(410) 497-5173
Mailing address
7000 GOLDEN RING ROAD, UNIT 9564, ROSEDALE, MD 21237
(410) 497-5173
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCO232
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003848490
NPI
MD
01
—
1013196120
GROUP NTI
MD
01
—
201965602
TAX ID
MD
01
—
311823751
TAX ID
MD
Enumeration date
02/10/2009
Last updated
12/03/2018
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