Provider Demographics
NPI:1144766395
Name:CZIFRA, MARJANNE (MS, LGMFT)
Entity Type:Individual
Prefix:
First Name:MARJANNE
Middle Name:
Last Name:CZIFRA
Suffix:
Gender:F
Credentials:MS, LGMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24238 KINGS VALLEY RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:DAMASCUS
Mailing Address - State:MD
Mailing Address - Zip Code:20872-2221
Mailing Address - Country:US
Mailing Address - Phone:240-406-8918
Mailing Address - Fax:
Practice Address - Street 1:3717 DECATUR AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:KENSINGTON
Practice Address - State:MD
Practice Address - Zip Code:20895-2148
Practice Address - Country:US
Practice Address - Phone:240-406-8918
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-12
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGM612106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist