Provider Demographics
NPI:1831291202
Name:RAYMOND, JANET PATTERSON (MA)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:PATTERSON
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:742 DOWNING FARM RD
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630
Mailing Address - Country:US
Mailing Address - Phone:703-652-6322
Mailing Address - Fax:703-242-1370
Practice Address - Street 1:380 MAPLE AVE W
Practice Address - Street 2:SUITE 304
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180
Practice Address - Country:US
Practice Address - Phone:703-652-6322
Practice Address - Fax:703-242-1370
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001791101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2172330OtherCIGNA
M5150001OtherANTHEM BCBS
174754OtherANTHEM