Provider Demographics
NPI:1851845705
Name:COLLIER, CARRIE E (PHD, LPC)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:E
Last Name:COLLIER
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:DR
Other - First Name:CARRIE
Other - Middle Name:E
Other - Last Name:BARONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:8361 MINERAL SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20112-2420
Mailing Address - Country:US
Mailing Address - Phone:571-264-1668
Mailing Address - Fax:
Practice Address - Street 1:8361 MINERAL SPRINGS DR
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-2420
Practice Address - Country:US
Practice Address - Phone:571-264-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005756101YP2500X
DCPRC14030101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional