Provider Demographics
NPI:1932783123
Name:DELANEY, THOMAS G (LPC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:G
Last Name:DELANEY
Suffix:
Gender:M
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:PO BOX 54
Mailing Address - Street 2:
Mailing Address - City:THORNBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22565-0054
Mailing Address - Country:US
Mailing Address - Phone:540-845-2318
Mailing Address - Fax:
Practice Address - Street 1:4414 LAFAYETTE BLVD STE 218B
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22408-4271
Practice Address - Country:US
Practice Address - Phone:540-339-3640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010413101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional