Provider Demographics
NPI:1114579760
Name:WAREING, JOE (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOE
Middle Name:
Last Name:WAREING
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1932 LAUREL CREEK RD NE
Mailing Address - Street 2:
Mailing Address - City:PILOT
Mailing Address - State:VA
Mailing Address - Zip Code:24138-1554
Mailing Address - Country:US
Mailing Address - Phone:540-988-3768
Mailing Address - Fax:540-305-3713
Practice Address - Street 1:1932 LAUREL CREEK RD NE
Practice Address - Street 2:
Practice Address - City:PILOT
Practice Address - State:VA
Practice Address - Zip Code:24138-1554
Practice Address - Country:US
Practice Address - Phone:540-988-3768
Practice Address - Fax:540-305-3713
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-14
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health