Provider Demographics
NPI:1235855404
Name:BARNES, JORDAN (LPC)
Entity Type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:
Last Name:BARNES
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 1:14278 REHOBETH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:LOVETTSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20180-3218
Mailing Address - Country:US
Mailing Address - Phone:703-651-6516
Mailing Address - Fax:
Practice Address - Street 1:14278 REHOBETH CHURCH RD
Practice Address - Street 2:
Practice Address - City:LOVETTSVILLE
Practice Address - State:VA
Practice Address - Zip Code:20180-3218
Practice Address - Country:US
Practice Address - Phone:703-651-6516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-18
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional