Provider Demographics
NPI:1063559250
Name:ERNSTER, PATRICIA ALENE (LCMFT)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ALENE
Last Name:ERNSTER
Suffix:
Gender:F
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 LISA LN
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20601-3372
Mailing Address - Country:US
Mailing Address - Phone:301-396-4292
Mailing Address - Fax:
Practice Address - Street 1:3500 LISA LN
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20601-3372
Practice Address - Country:US
Practice Address - Phone:301-396-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM751106H00000X
CAMFC 52680106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist