Doctor Name: | MR. PATRICK SULLIVAN STIEHM |
NPI Number: | 1457367641 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 0701002545 |
Business Practice Address: | 9625 Surveyor Ct Suite 200 Manassas, VA - 201104422 |
Business Phone Number: | 7033309933 |
Business Fax Number: | 7033688454 |
Mailing Address: | 9625 Surveyor Ct, Suite 200 MANASSAS |
State: | VA |
Postal Code: | 201104422 |
Phone Number: | 7033309933 |
Fax Number: | 7033688454 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701002545 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |