Provider Demographics
NPI:1952918955
Name:BERHAN, DONYA (LPC)
Entity Type:Individual
Prefix:
First Name:DONYA
Middle Name:
Last Name:BERHAN
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 1:2236 CASTLE ROCK SQ APT 11C
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20191-6029
Mailing Address - Country:US
Mailing Address - Phone:202-689-5363
Mailing Address - Fax:
Practice Address - Street 1:2236 CASTLE ROCK SQ APT 11C
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20191-6029
Practice Address - Country:US
Practice Address - Phone:202-689-5363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLGPC00582101YP2500X
DCPRC200001269101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional