Provider Demographics
NPI:1013365196
Name:DELANEY, MONICA (LPC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:DELANEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:
Other - Last Name:DREYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15451 EAGLE TAVERN LN
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20120-3718
Mailing Address - Country:US
Mailing Address - Phone:703-861-1667
Mailing Address - Fax:
Practice Address - Street 1:24240 JAMES MONROE HWY
Practice Address - Street 2:
Practice Address - City:ALDIE
Practice Address - State:VA
Practice Address - Zip Code:20105-2732
Practice Address - Country:US
Practice Address - Phone:703-861-1667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14556101YP2500X
VA0701006601101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional