Individual
ELAINE KAY WESCOAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LSATP
Contact information
Practice address
4414 LAFAYETTE BLVD, SUITE 106, FREDERICKSBURG, VA 22408-4271
(540) 847-2876
(540) 371-4333
Mailing address
4414 LAFAYETTE BLVD, SUITE 106, FREDERICKSBURG, VA 22408-4271
(540) 847-2876
(540) 371-4333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000093
VA
101YP2500X
Professional Counselor
Primary
0701003515
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134304882
TAX IDENTIFICATION NUMBER
VA
Enumeration date
10/16/2006
Last updated
05/02/2012
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