Provider Demographics
NPI:1821156712
Name:MARKVA, CHARLOTTE ANN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:ANN
Last Name:MARKVA
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 1:1805 MONUMENT AVE
Mailing Address - Street 2:SUITE 312
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23220-7005
Mailing Address - Country:US
Mailing Address - Phone:804-254-7643
Mailing Address - Fax:804-254-7644
Practice Address - Street 1:1805 MONUMENT AVE
Practice Address - Street 2:SUITE 312
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-7005
Practice Address - Country:US
Practice Address - Phone:804-254-7643
Practice Address - Fax:804-254-7644
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health