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Individual

MR. RICHARD JON MCQUAID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC,LPRC

Contact information

Practice address
4211 WALNEY RD, CHANTILLY, VA 20151-2923
(703) 227-7100
Mailing address
103 COLONIAL CT, LOCUST GROVE, VA 22508-5216
(540) 972-0160

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004274
VA
101YM0800X
Mental Health Counselor
PC00127400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701004274
LPC
VA
01
PC00127400
LPC
NJ
01
RC00123600
LPRC
NJ
Enumeration date
01/16/2007
Last updated
11/15/2007
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