Provider Demographics
NPI:1376741868
Name:SAKARIS, LORRAINE ELLEN (LCPC)
Entity Type:Individual
Prefix:MS
First Name:LORRAINE
Middle Name:ELLEN
Last Name:SAKARIS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9137 FALLS CHAPEL WAY
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2455
Mailing Address - Country:US
Mailing Address - Phone:301-529-8858
Mailing Address - Fax:301-610-5242
Practice Address - Street 1:9137 FALLS CHAPEL WAY
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2455
Practice Address - Country:US
Practice Address - Phone:301-529-8858
Practice Address - Fax:301-610-5242
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC2300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional