Individual
MS. MARIANNA JEANNE PATENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2670 CRAIN HIGHWAY, SUITE #401, WALDORF, MD 20601
(301) 704-5611
Mailing address
2670 CRAIN HIGHWAY, SUITE #401, WALDORF, MD 20601
(301) 704-5611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701003222
VA
101Y00000X
Counselor
Primary
LC1126
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177237
ANTHEM
—
01
—
F0070001
BCBS CARE FIRST
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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