Provider Demographics
NPI:1942314828
Name:ADAIR, VIRGINIA (LPC)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:
Last Name:ADAIR
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:
Other - Last Name:ADAIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:348 KNIGHT DR
Mailing Address - Street 2:
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-1761
Mailing Address - Country:US
Mailing Address - Phone:580-924-8899
Mailing Address - Fax:
Practice Address - Street 1:314 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701
Practice Address - Country:US
Practice Address - Phone:580-920-6612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2656101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health