Provider Demographics
NPI:1275693483
Name:MCFERRON, ELAINE WALTERS (LPC LMFT)
Entity Type:Individual
Prefix:MS
First Name:ELAINE
Middle Name:WALTERS
Last Name:MCFERRON
Suffix:
Gender:F
Credentials:LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3419 VIRGINIA BEACH BLVD
Mailing Address - Street 2:#B12
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452
Mailing Address - Country:US
Mailing Address - Phone:757-486-6515
Mailing Address - Fax:757-498-5452
Practice Address - Street 1:613 N LYNN HAVEN RD
Practice Address - Street 2:#1 SUITE B
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452
Practice Address - Country:US
Practice Address - Phone:757-486-6515
Practice Address - Fax:757-498-5452
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000857101YP2500X
VA0717000744106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0804053OtherSENTERA
VA0004587222OtherAETNA
VA088578OtherANTHEM