Provider Demographics
NPI:1912427600
Name:DAVIES, LORIN CHRISTOPHER (LPC)
Entity Type:Individual
Prefix:MR
First Name:LORIN
Middle Name:CHRISTOPHER
Last Name:DAVIES
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:MR
Other - First Name:L. CHRISTOPHER
Other - Middle Name:
Other - Last Name:DAVIES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:9109 MINEOLA CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-8261
Mailing Address - Country:US
Mailing Address - Phone:703-634-9440
Mailing Address - Fax:
Practice Address - Street 1:6611 JEFFERSON ST STE 304
Practice Address - Street 2:
Practice Address - City:HAYMARKET
Practice Address - State:VA
Practice Address - Zip Code:20169-4902
Practice Address - Country:US
Practice Address - Phone:703-644-8041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-22
Last Update Date:2017-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005874101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional