Doctor Name: | MR. JAMES WILLIAM LA PRADE |
NPI Number: | 1255369773 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC, LMFT |
License Number: | 0701002356 |
Business Practice Address: | 6610 Commons Dr Prince George, VA - 238752528 |
Business Phone Number: | 8048610393 |
Business Fax Number: | 8048631287 |
Mailing Address: | 4705 Sylvan Rd, RICHMOND |
State: | VA |
Postal Code: | 232253141 |
Phone Number: | 8042333468 |
Fax Number: | 8048631287 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 0701002356 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |