Provider Demographics
NPI:1942327721
Name:JAMES, WILLARD N JR (LPC)
Entity Type:Individual
Prefix:MR
First Name:WILLARD
Middle Name:N
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6858 QUAIL PL
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-5018
Mailing Address - Country:US
Mailing Address - Phone:540-563-9248
Mailing Address - Fax:
Practice Address - Street 1:6858 QUAIL PL
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-5018
Practice Address - Country:US
Practice Address - Phone:540-563-9248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701000065101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional