Provider Demographics
NPI:1346550324
Name:PATTON, VALERIE (LPC)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:PATTON
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 1:42231 BLACK ROCK TER
Mailing Address - Street 2:
Mailing Address - City:ALDIE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2969
Mailing Address - Country:US
Mailing Address - Phone:954-593-0021
Mailing Address - Fax:
Practice Address - Street 1:3700 J SIEWICK DR STE 408
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-1745
Practice Address - Country:US
Practice Address - Phone:703-391-3403
Practice Address - Fax:703-391-4380
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004846101YP2500X
FLMH 9785101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1346550324OtherPRIVATE INSURANCES