Provider Demographics
NPI:1790030062
Name:DALY, JOAN E (LPC)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:DALY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2807 N PARHAM RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4410
Mailing Address - Country:US
Mailing Address - Phone:804-762-8716
Mailing Address - Fax:804-762-7114
Practice Address - Street 1:2807 N PARHAM RD
Practice Address - Street 2:SUITE 306
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4410
Practice Address - Country:US
Practice Address - Phone:804-762-8716
Practice Address - Fax:804-762-7114
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005288101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional