Doctor Name: | MRS. ATHALIA EASON |
NPI Number: | 1598193716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRC, LPC |
License Number: | 0701005618 |
Business Practice Address: | 3329 Bourbon St Suite A Fredericksburg, VA - 224087348 |
Business Phone Number: | 5406563662 |
Business Fax Number: | 8887700014 |
Mailing Address: | 5365 Dickerson Rd, PARTLOW |
State: | VA |
Postal Code: | 225349609 |
Phone Number: | 5406563662 |
Fax Number: | 8887700014 |
NPI Enumeration Date: | 10/25/2013 |
NPI Last Update Date: | 07/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701005618 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |