Provider Demographics
NPI:1588873079
Name:HENDERSON, VIRGINIA NAFF (LPC)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:NAFF
Last Name:HENDERSON
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 1:5656 U S HIGHWAY 29
Mailing Address - Street 2:SUITE A2
Mailing Address - City:BLAIRS
Mailing Address - State:VA
Mailing Address - Zip Code:24527-2430
Mailing Address - Country:US
Mailing Address - Phone:434-836-0732
Mailing Address - Fax:434-836-4878
Practice Address - Street 1:5656 U S HIGHWAY 29
Practice Address - Street 2:SUITE A2
Practice Address - City:BLAIRS
Practice Address - State:VA
Practice Address - Zip Code:24527-2430
Practice Address - Country:US
Practice Address - Phone:434-836-0732
Practice Address - Fax:434-836-4878
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional