Provider Demographics
NPI:1225127400
Name:SENIOR, JOAN DIAN (LPC, CSOTP)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:DIAN
Last Name:SENIOR
Suffix:
Gender:F
Credentials:LPC, CSOTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2238 TODDS LN
Mailing Address - Street 2:SUITE D
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-3159
Mailing Address - Country:US
Mailing Address - Phone:757-871-8732
Mailing Address - Fax:757-262-2095
Practice Address - Street 1:2238 TODDS LN
Practice Address - Street 2:SUITE D
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-3159
Practice Address - Country:US
Practice Address - Phone:757-871-8732
Practice Address - Fax:757-262-2095
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
SC7266101YP2500X
SC7089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional