Provider Demographics
NPI:1508910951
Name:STRUBBE, SHAWN LEA (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHAWN
Middle Name:LEA
Last Name:STRUBBE
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 1:313 2ND ST SE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-5654
Mailing Address - Country:US
Mailing Address - Phone:434-963-6671
Mailing Address - Fax:
Practice Address - Street 1:313 2ND ST SE
Practice Address - Street 2:SUITE 211
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-5654
Practice Address - Country:US
Practice Address - Phone:434-963-6671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002986101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health