Provider Demographics
NPI:1851546527
Name:ZWEIBAHMER, MICHELE LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:MICHELE
Middle Name:LYNN
Last Name:ZWEIBAHMER
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 1:14377 HEREFORD RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-2107
Mailing Address - Country:US
Mailing Address - Phone:703-878-6670
Mailing Address - Fax:703-878-3370
Practice Address - Street 1:14377 HEREFORD RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-2107
Practice Address - Country:US
Practice Address - Phone:703-878-6670
Practice Address - Fax:703-878-3370
Is Sole Proprietor?:No
Enumeration Date:2008-11-23
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004238101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional