Provider Demographics
NPI:1003967076
Name:MCQUAID, RICHARD JON (LPC,LPRC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:JON
Last Name:MCQUAID
Suffix:
Gender:M
Credentials:LPC,LPRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 COLONIAL CT
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-5216
Mailing Address - Country:US
Mailing Address - Phone:540-972-0160
Mailing Address - Fax:
Practice Address - Street 1:4211 WALNEY RD
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-2923
Practice Address - Country:US
Practice Address - Phone:703-227-7100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPC00127400101YM0800X
VA0701004274101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJRC00123600OtherLPRC
VA0701004274OtherLPC
NJPC00127400OtherLPC