Provider Demographics
NPI:1669523015
Name:FARLEY, PATRICK N (EDD, LPC, NCC)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:N
Last Name:FARLEY
Suffix:
Gender:M
Credentials:EDD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2906
Mailing Address - Country:US
Mailing Address - Phone:276-628-7550
Mailing Address - Fax:
Practice Address - Street 1:380 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2906
Practice Address - Country:US
Practice Address - Phone:276-628-7550
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003525101YP2500X
NC2158101YP2500X
TN1456101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional