Provider Demographics
NPI:1427334168
Name:DE GREEF, FERNANDO (LPC)
Entity type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:
Last Name:DE GREEF
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 S RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204-5429
Mailing Address - Country:US
Mailing Address - Phone:703-371-1907
Mailing Address - Fax:703-769-4948
Practice Address - Street 1:1050 17TH ST NW STE 1000
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-5512
Practice Address - Country:US
Practice Address - Phone:703-371-1907
Practice Address - Fax:703-769-4948
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC14206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional