Provider Demographics
NPI:1568679991
Name:PATTERSON, JANETTE JAKOBSEN (MSW, LCMFT)
Entity Type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:JAKOBSEN
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MSW, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10228 LESLIE ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4856
Mailing Address - Country:US
Mailing Address - Phone:301-681-4803
Mailing Address - Fax:
Practice Address - Street 1:10228 LESLIE ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4856
Practice Address - Country:US
Practice Address - Phone:301-681-4803
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist