Doctor Name: | MR. RICHARD JON MCQUAID |
NPI Number: | 1003967076 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC,LPRC |
License Number: | PC00127400 |
Business Practice Address: | 4211 Walney Rd Chantilly, VA - 201512923 |
Business Phone Number: | 7032277100 |
Business Fax Number: | |
Mailing Address: | 103 Colonial Ct, LOCUST GROVE |
State: | VA |
Postal Code: | 225085216 |
Phone Number: | 5409720160 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 11/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC00127400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |