Provider Demographics
NPI:1194288829
Name:SCRANTON, HALEY J (LPC)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:J
Last Name:SCRANTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HOPE RD
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7202
Mailing Address - Country:US
Mailing Address - Phone:540-658-1691
Mailing Address - Fax:540-371-3753
Practice Address - Street 1:15 HOPE RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7202
Practice Address - Country:US
Practice Address - Phone:540-658-1691
Practice Address - Fax:540-371-3753
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional