Provider Demographics
NPI:1336884162
Name:PATTERSON, ARNITA STARR (LGPC)
Entity Type:Individual
Prefix:
First Name:ARNITA
Middle Name:STARR
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4853 CORDELL AVE APT 1210
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3025
Mailing Address - Country:US
Mailing Address - Phone:330-980-4435
Mailing Address - Fax:
Practice Address - Street 1:4853 CORDELL AVE APT 1210
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3025
Practice Address - Country:US
Practice Address - Phone:330-980-4435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP12612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health