Provider Demographics
NPI:1699122366
Name:VASSERMAN-STOKES, ELAINA A (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:ELAINA
Middle Name:A
Last Name:VASSERMAN-STOKES
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:MISS
Other - First Name:ELAINA
Other - Middle Name:A
Other - Last Name:MIKHAYLOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC
Mailing Address - Street 1:19 WHITITER ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012
Mailing Address - Country:US
Mailing Address - Phone:240-350-6295
Mailing Address - Fax:
Practice Address - Street 1:19 WHITTIER ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2158
Practice Address - Country:US
Practice Address - Phone:240-350-6295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC 14637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health