Provider Demographics
NPI:1023572674
Name:FARRAR, BLAIR ELDER (LPC)
Entity Type:Individual
Prefix:
First Name:BLAIR
Middle Name:ELDER
Last Name:FARRAR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BLAIR
Other - Middle Name:EILEEN
Other - Last Name:ELDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3630 GEORGE WASHINGTON MEM HWY STE F1
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-3350
Mailing Address - Country:US
Mailing Address - Phone:757-241-8830
Mailing Address - Fax:
Practice Address - Street 1:3630 GEORGE WASHINGTON MEM HWY STE F1
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-3350
Practice Address - Country:US
Practice Address - Phone:757-241-4407
Practice Address - Fax:757-782-4004
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008118101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional