Provider Demographics
NPI:1114691185
Name:CASON, ERIN MARIA (LPC)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:MARIA
Last Name:CASON
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 1:1411 RAMSHORN WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-7436
Mailing Address - Country:US
Mailing Address - Phone:757-816-1536
Mailing Address - Fax:
Practice Address - Street 1:4939 ATTERBURY ST
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2707
Practice Address - Country:US
Practice Address - Phone:757-816-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA070101069101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional