Provider Demographics
NPI:1346763505
Name:NEDER, DONNA J (MA, LPC)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:J
Last Name:NEDER
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 1:21262 BUCKHORN QUARTER RD
Mailing Address - Street 2:
Mailing Address - City:COURTLAND
Mailing Address - State:VA
Mailing Address - Zip Code:23837-2456
Mailing Address - Country:US
Mailing Address - Phone:814-392-3363
Mailing Address - Fax:
Practice Address - Street 1:105 W 1ST AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VA
Practice Address - Zip Code:23851-1701
Practice Address - Country:US
Practice Address - Phone:757-516-7886
Practice Address - Fax:757-517-2240
Is Sole Proprietor?:No
Enumeration Date:2017-07-19
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007195101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional