Provider Demographics
NPI:1033501440
Name:KREPPEL, MARJORIE LOUREN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:MARJORIE
Middle Name:LOUREN
Last Name:KREPPEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:LOUREN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8030 WOODMONT AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814
Mailing Address - Country:US
Mailing Address - Phone:301-742-2282
Mailing Address - Fax:240-802-2146
Practice Address - Street 1:8030 WOODMONT AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:301-742-2282
Practice Address - Fax:240-802-2146
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-22
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP5567101YM0800X
MDLC6929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health