Individual
EVAN A PERGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(804) 207-6737
(703) 665-7686
Mailing address
199 LIBERTY ST SW, LEESBURG, VA 20175-2715
(804) 207-6737
(703) 665-7686
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.2204456
OH
101YP2500X
Professional Counselor
Primary
0701015732
VA
101YP2500X
Professional Counselor
C.2103296-TRNE
OH
Other
Enumeration date
06/14/2021
Last updated
03/19/2026
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