Provider Demographics
NPI:1720054158
Name:ST.CLAIR, MARGARET J (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:J
Last Name:ST.CLAIR
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3536 HORSESHOE DR
Mailing Address - Street 2:
Mailing Address - City:QUINTON
Mailing Address - State:VA
Mailing Address - Zip Code:23141-1553
Mailing Address - Country:US
Mailing Address - Phone:804-475-1276
Mailing Address - Fax:
Practice Address - Street 1:6851 COURTHOUSE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23832-5308
Practice Address - Country:US
Practice Address - Phone:804-715-3215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003201101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5633924OtherFIRSTHEALTH MH PROVIDER I
VA9392627OtherPHCS MH PROVIDER ID#
VAO85581MOtherSENTARA MH PROVIDER #
VA11485890OtherCAQH CREDENTIALING ID MH
VA252928OtherCOMPSYCH MH PROVIDER #
VA178619OtherANTHEM BC/BS OFFCE#2 MH
VA178620OtherANTHEM BC/BS MH PROVIDER