Provider Demographics
NPI:1790791424
Name:MACLEOD, NANCY (LPC, LCPC, NCC, CSAC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:MACLEOD
Suffix:
Gender:F
Credentials:LPC, LCPC, NCC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1179 FOXHOUND CT
Mailing Address - Street 2:
Mailing Address - City:MCLEAN
Mailing Address - State:VA
Mailing Address - Zip Code:22102-2402
Mailing Address - Country:US
Mailing Address - Phone:703-790-9484
Mailing Address - Fax:
Practice Address - Street 1:3340 WOODBURN RD
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-1202
Practice Address - Country:US
Practice Address - Phone:703-207-7825
Practice Address - Fax:703-280-9518
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710000451101YA0400X
VA0701002808101YM0800X
DCPRC1346101YM0800X
MDLC1145101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health