Provider Demographics
NPI:1154079754
Name:SLEVIN, SEAN (LMFT, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:
Last Name:SLEVIN
Suffix:
Gender:M
Credentials:LMFT, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 E MARKET ST STE D
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-4100
Mailing Address - Country:US
Mailing Address - Phone:540-908-2792
Mailing Address - Fax:
Practice Address - Street 1:250 E MARKET ST STE D
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-4100
Practice Address - Country:US
Practice Address - Phone:540-908-2045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-13
Last Update Date:2022-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005603101YP2500X
VA0717001277106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional