Provider Demographics
NPI:1518193002
Name:LAMP, THOMAS FREDERICK (LPC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:FREDERICK
Last Name:LAMP
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 S WASHINGTON ST STE 303
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-2921
Mailing Address - Country:US
Mailing Address - Phone:703-462-8644
Mailing Address - Fax:703-462-9121
Practice Address - Street 1:150 S WASHINGTON ST STE 303
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-2921
Practice Address - Country:US
Practice Address - Phone:703-462-8644
Practice Address - Fax:703-462-9121
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-10
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004499101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional