Provider Demographics
NPI:1972104495
Name:PATTERSON, SIERRA NICOLE (LCPC)
Entity type:Individual
Prefix:MS
First Name:SIERRA
Middle Name:NICOLE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 GARDEN RIDGE RD APT A
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2316
Mailing Address - Country:US
Mailing Address - Phone:410-598-7467
Mailing Address - Fax:
Practice Address - Street 1:8181 MAIN ST.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043
Practice Address - Country:US
Practice Address - Phone:410-505-0062
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC13126101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional