Provider Demographics
NPI:1356627673
Name:SPENADEL, MARILYN B (MS, LCPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:B
Last Name:SPENADEL
Suffix:
Gender:F
Credentials:MS, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10920 EARLSGATE LN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4552
Mailing Address - Country:US
Mailing Address - Phone:240-426-8344
Mailing Address - Fax:
Practice Address - Street 1:10920 EARLSGATE LN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4552
Practice Address - Country:US
Practice Address - Phone:240-426-8344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC 4078101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional