Provider Demographics
NPI:1124234497
Name:LITANO, PATRICK (LMFT, LCSW)
Entity type:Individual
Prefix:
First Name:PATRICK
Middle Name:
Last Name:LITANO
Suffix:
Gender:M
Credentials:LMFT, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 CHURCHILL ST
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-1214
Mailing Address - Country:US
Mailing Address - Phone:413-499-6211
Mailing Address - Fax:
Practice Address - Street 1:808 CHURCHILL ST
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-1214
Practice Address - Country:US
Practice Address - Phone:413-499-6211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist