Provider Demographics
NPI:1740227677
Name:WASHINGTON-BROWN, QUOVADIS (LPC, ADS)
Entity Type:Individual
Prefix:MRS
First Name:QUOVADIS
Middle Name:
Last Name:WASHINGTON-BROWN
Suffix:
Gender:F
Credentials:LPC, ADS
Other - Prefix:MS
Other - First Name:QUOVADIS
Other - Middle Name:
Other - Last Name:WASHINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CSAC
Mailing Address - Street 1:301 ELM AVE SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24016-4001
Mailing Address - Country:US
Mailing Address - Phone:540-345-9841
Mailing Address - Fax:
Practice Address - Street 1:801 SHENANDOAH AVE NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-2221
Practice Address - Country:US
Practice Address - Phone:540-344-6208
Practice Address - Fax:540-344-9112
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710001326101YA0400X
VA0701003576101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional