Provider Demographics
NPI:1568805885
Name:KAHWAJY-BARON, MARY MAGDALYN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:MAGDALYN
Last Name:KAHWAJY-BARON
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 1:250 E ELIZABETH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-4159
Mailing Address - Country:US
Mailing Address - Phone:540-801-0885
Mailing Address - Fax:540-801-8221
Practice Address - Street 1:250 E ELIZABETH ST STE 102
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-4159
Practice Address - Country:US
Practice Address - Phone:540-801-0885
Practice Address - Fax:540-801-8221
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005284101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional