Individual
DIANE HALLILA PASSERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
2000 MARBURY DR, DISTRICT HEIGHTS, MD 20747-2334
(301) 952-5498
Mailing address
1541 WAKEFIELD RD, EDGEWATER, MD 21037-4651
(503) 522-0398
(301) 952-2954
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC3602
MD
Other
Enumeration date
05/07/2013
Last updated
05/07/2013
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