Provider Demographics
NPI:1427760958
Name:ATKINSON, STEVEN ALLEN (LMFT)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALLEN
Last Name:ATKINSON
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MONUMENT RD
Mailing Address - Street 2:
Mailing Address - City:LOCUST GROVE
Mailing Address - State:VA
Mailing Address - Zip Code:22508-5156
Mailing Address - Country:US
Mailing Address - Phone:909-994-3114
Mailing Address - Fax:
Practice Address - Street 1:218 MONUMENT RD
Practice Address - Street 2:
Practice Address - City:LOCUST GROVE
Practice Address - State:VA
Practice Address - Zip Code:22508-5156
Practice Address - Country:US
Practice Address - Phone:909-994-3114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAM17688106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAM17688OtherPSYCHOTHERAPY