Provider Demographics
NPI:1821574575
Name:STONNELL, TODD CHARLES (LPC, ATR-BC)
Entity Type:Individual
Prefix:MR
First Name:TODD
Middle Name:CHARLES
Last Name:STONNELL
Suffix:
Gender:M
Credentials:LPC, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11125 ALANTHUS RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-3251
Mailing Address - Country:US
Mailing Address - Phone:804-614-6866
Mailing Address - Fax:
Practice Address - Street 1:10515 CABANISS LN
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:VA
Practice Address - Zip Code:23069-1840
Practice Address - Country:US
Practice Address - Phone:804-559-9959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-16
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007141101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health