Provider Demographics
NPI:1437373511
Name:BARBOUR, STEPHANIE MEGAN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:STEPHANIE
Middle Name:MEGAN
Last Name:BARBOUR
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 1:9834 SOLITARY PL
Mailing Address - Street 2:
Mailing Address - City:BRISTOW
Mailing Address - State:VA
Mailing Address - Zip Code:20136-2517
Mailing Address - Country:US
Mailing Address - Phone:703-930-8754
Mailing Address - Fax:
Practice Address - Street 1:9301 FOREST POINT CIR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-4700
Practice Address - Country:US
Practice Address - Phone:703-257-5997
Practice Address - Fax:703-257-7518
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004110101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional