Provider Demographics
NPI:1841301777
Name:THOMPSON, DAN J (LPC, CSAC)
Entity type:Individual
Prefix:MR
First Name:DAN
Middle Name:J
Last Name:THOMPSON
Suffix:
Gender:M
Credentials:LPC, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7371 KATHRYN LN
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:VA
Mailing Address - Zip Code:20187-9158
Mailing Address - Country:US
Mailing Address - Phone:540-272-4200
Mailing Address - Fax:
Practice Address - Street 1:14540 JOHN MARSHALL HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-1691
Practice Address - Country:US
Practice Address - Phone:571-248-8700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003477101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional