Provider Demographics
NPI:1629184262
Name:NOWINSKI, JUDITH EILEEN (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:JUDITH
Middle Name:EILEEN
Last Name:NOWINSKI
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 CARLISLE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20170-4819
Mailing Address - Country:US
Mailing Address - Phone:703-868-6155
Mailing Address - Fax:703-435-0114
Practice Address - Street 1:459 CARLISLE DR
Practice Address - Street 2:SUITE B
Practice Address - City:HERNDON
Practice Address - State:VA
Practice Address - Zip Code:20170-4819
Practice Address - Country:US
Practice Address - Phone:703-868-6155
Practice Address - Fax:703-435-0114
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002433101YP2500X
VA0717000369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist