Provider Demographics
NPI:1255369773
Name:LA PRADE, JAMES WILLIAM (LPC, LMFT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WILLIAM
Last Name:LA PRADE
Suffix:
Gender:M
Credentials:LPC, LMFT
Other - Prefix:
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Mailing Address - Street 1:4705 SYLVAN RD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-3141
Mailing Address - Country:US
Mailing Address - Phone:804-233-3468
Mailing Address - Fax:804-863-1287
Practice Address - Street 1:6610 COMMONS DR
Practice Address - Street 2:
Practice Address - City:PRINCE GEORGE
Practice Address - State:VA
Practice Address - Zip Code:23875-2528
Practice Address - Country:US
Practice Address - Phone:804-861-0393
Practice Address - Fax:804-863-1287
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0701002356101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA085333MOtherSENTARA
VA180188OtherANTHEM