Provider Demographics
NPI:1285867028
Name:SUTTON, FERN (LPC)
Entity Type:Individual
Prefix:
First Name:FERN
Middle Name:
Last Name:SUTTON
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 1:2811 LINKHORNE DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-3353
Mailing Address - Country:US
Mailing Address - Phone:434-384-1594
Mailing Address - Fax:434-384-3228
Practice Address - Street 1:2811 LINKHORNE DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-3353
Practice Address - Country:US
Practice Address - Phone:434-384-1594
Practice Address - Fax:434-384-3228
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2009-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004629101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional