Provider Demographics
NPI:1366468092
Name:ESTES, MARCIA FRANCES (LPC)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:FRANCES
Last Name:ESTES
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 1:17606 MAIN ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-2343
Mailing Address - Country:US
Mailing Address - Phone:703-221-1481
Mailing Address - Fax:
Practice Address - Street 1:17606 MAIN ST
Practice Address - Street 2:SUITE 204
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-2343
Practice Address - Country:US
Practice Address - Phone:703-221-1481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000866101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA142940OtherBLUE CROSS BLUE SHIELD VA
VA211019OtherANTHEM
VAH158-001OtherCARE FIRST BLUE CHOICE
116055OtherVALUEOPTIONS