| Patrick Divietri, NCC, LPC | |
|
7502 Diplomat Dr Ste B, Manassas, VA 20109-2507 | |
| (703) 479-6278 | |
| Not Available |
| Full Name | Patrick Divietri |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 7502 Diplomat Dr Ste B, Manassas, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871986398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Samaritan Counseling Center Of Western Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629093265 PECOS PAC ID: 3678826476 Enrollment ID: O20181024002610 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Divietri, NCC, LPC 8616 Jackson Ave, Manassas, VA 20110-4726 Ph: (703) 479-6278 | Patrick Divietri, NCC, LPC 7502 Diplomat Dr Ste B, Manassas, VA 20109-2507 Ph: (703) 479-6278 |
Ms. Christienne Morse Mcclure, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9254 Mosby St, Suite B, Manassas, VA 20110 Phone: 703-895-5208 Fax: 888-509-0859 | |
Hannah Cantrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8805 Sudley Rd, Manassas, VA 20110 Phone: 703-493-0467 | |
Ms. Elizabeth Trumble Strawderman, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
John Lee Barnes Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7969 Ashton Ave, Manassas, VA 20109 Phone: 703-792-7800 Fax: 703-792-5699 | |
Mrs. Darlene D Roberson, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 12032 Bank Beaver Ct, Manassas, VA 20112 Phone: 703-791-3636 Fax: 866-844-4356 | |
Angel Simone Waldo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9301 Forest Point Cir, Manassas, VA 20110 Phone: 703-257-5997 | |
Mrs. Amanda Criste, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10432 Balls Ford Road, Suite 300, Manassas, VA 20109 Phone: 571-383-0020 |