Individual
JOAN MONAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
123 AMHERST STREET, WINCHESTER, VA 22601
(540) 450-2258
Mailing address
P.O. BOX 3803, WINCHESTER, VA 22604
(540) 450-2258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003082
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084311
COMMUNITY HEALTH
VA
01
—
180033
ANTHEM
VA
Enumeration date
05/04/2007
Last updated
07/08/2007
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