Provider Demographics
NPI:1609425529
Name:STOKES, JUANITA PATRICIA (LPC)
Entity Type:Individual
Prefix:
First Name:JUANITA
Middle Name:PATRICIA
Last Name:STOKES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:JUANITA
Other - Middle Name:P
Other - Last Name:STOKES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:16602 ACCOLON CT
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22025-3129
Mailing Address - Country:US
Mailing Address - Phone:703-670-4427
Mailing Address - Fax:
Practice Address - Street 1:14999 BIRCHDALE AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-1317
Practice Address - Country:US
Practice Address - Phone:703-903-9696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional