Provider Demographics
NPI:1811178734
Name:EASLEY, MARGARET JOAN (LPC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:JOAN
Last Name:EASLEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 CATHEDRAL LN
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-3602
Mailing Address - Country:US
Mailing Address - Phone:703-841-2531
Mailing Address - Fax:703-841-2742
Practice Address - Street 1:3838 CATHEDRAL LN
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-3602
Practice Address - Country:US
Practice Address - Phone:703-841-2531
Practice Address - Fax:703-841-2742
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002252101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional