Provider Demographics
NPI:1821100306
Name:SOLOW, STEVEN IRA (LPC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:IRA
Last Name:SOLOW
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17711 RAVEN ROCKS RD
Mailing Address - Street 2:
Mailing Address - City:BLUEMONT
Mailing Address - State:VA
Mailing Address - Zip Code:20135-1715
Mailing Address - Country:US
Mailing Address - Phone:540-554-2817
Mailing Address - Fax:540-554-2173
Practice Address - Street 1:170 W MAIN ST
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132
Practice Address - Country:US
Practice Address - Phone:540-554-8355
Practice Address - Fax:540-554-2173
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001352101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health