Provider Demographics
NPI:1912012428
Name:WHITMAN, CHARLENE DENISE (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHARLENE
Middle Name:DENISE
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7815 LEWIS CHAPEL CIRCLE
Mailing Address - Street 2:APT 201
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079
Mailing Address - Country:US
Mailing Address - Phone:703-581-5307
Mailing Address - Fax:703-368-8454
Practice Address - Street 1:9626 SURVEYOR CT
Practice Address - Street 2:SUITE 200 PRINCE WILLIAM FAMILY COUNSELING
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110
Practice Address - Country:US
Practice Address - Phone:703-330-9933
Practice Address - Fax:703-368-8454
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000598101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0701000598OtherLPC NUMBER