Provider Demographics
NPI:1497052849
Name:PACITTO, NATALIE DOROTHY (LPC, LLP)
Entity Type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:DOROTHY
Last Name:PACITTO
Suffix:
Gender:F
Credentials:LPC, LLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52612 STAFFORD DR
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-3816
Mailing Address - Country:US
Mailing Address - Phone:248-808-8209
Mailing Address - Fax:
Practice Address - Street 1:52612 STAFFORD DR
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-3816
Practice Address - Country:US
Practice Address - Phone:248-808-8209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009070101YM0800X
MI6301013530103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling