Provider Demographics
NPI:1689283624
Name:SCHAFER, CHARLOTTE A (LPC MA)
Entity Type:Individual
Prefix:
First Name:CHARLOTTE
Middle Name:A
Last Name:SCHAFER
Suffix:
Gender:F
Credentials:LPC MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 ALBANO CT
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:VA
Mailing Address - Zip Code:22963-2614
Mailing Address - Country:US
Mailing Address - Phone:434-414-6375
Mailing Address - Fax:
Practice Address - Street 1:5578 RICHMOND RD STE 203
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:VA
Practice Address - Zip Code:22974-4421
Practice Address - Country:US
Practice Address - Phone:434-414-6375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-27
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009615101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional