Provider Demographics
NPI:1730296534
Name:LOPEZ-CARDONA, ELIZABETH LOPEZ (LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:LOPEZ
Last Name:LOPEZ-CARDONA
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:L
Other - Last Name:LINGEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3301 RICHMOND HWY.
Mailing Address - Street 2:#1143
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305
Mailing Address - Country:US
Mailing Address - Phone:703-520-1070
Mailing Address - Fax:703-451-7539
Practice Address - Street 1:8348 TRAFORD LN
Practice Address - Street 2:SUITE 400
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1663
Practice Address - Country:US
Practice Address - Phone:703-866-2150
Practice Address - Fax:703-451-7539
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000144106H00000X
VA0701002419101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist