Provider Demographics
NPI:1164952040
Name:PIERCE, JOANNA (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13885 HEDGEWOOD DR STE 349
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-7933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13885 HEDGEWOOD DR STE 349
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-7933
Practice Address - Country:US
Practice Address - Phone:571-207-7929
Practice Address - Fax:571-367-0659
Is Sole Proprietor?:No
Enumeration Date:2017-06-14
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007150101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701007150OtherLICENSE NUMBER W/THE VIRGINIA BOARD OF COUNSELING