Provider Demographics
NPI:1285272146
Name:MOKEY, STEPHANIE R (MS, LPC)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:R
Last Name:MOKEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3271 ROSE GLEN CT
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-3833
Mailing Address - Country:US
Mailing Address - Phone:410-897-2699
Mailing Address - Fax:
Practice Address - Street 1:3931 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2506
Practice Address - Country:US
Practice Address - Phone:703-349-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-11
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701013398101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health