Provider Demographics
NPI:1083864680
Name:SUTTON, MORGAN NAAR (LPC)
Entity Type:Individual
Prefix:MS
First Name:MORGAN
Middle Name:NAAR
Last Name:SUTTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 TUDOR DR
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22603-4245
Mailing Address - Country:US
Mailing Address - Phone:540-514-1028
Mailing Address - Fax:540-723-8560
Practice Address - Street 1:300 TUDOR DR
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22603-4245
Practice Address - Country:US
Practice Address - Phone:540-514-1028
Practice Address - Fax:540-723-8560
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004394101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA11870337OtherCAQH