Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINTON LEE BROGDON, LPC
Active Sole ProprietorCLINTON LEE BROGDON, LPC is a Professional Counselor healthcare provider located in FAIRFAX, Virginia. NPI 1457880684 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · FAIRFAX, VA
Registration Details
- NPI Number
- 1457880684
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 10, 2017 (9.162519169621 yrs)
- Last Updated
- Apr 1, 2020
- License
-
0701007411 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11204 WAPLES MILL RDFAIRFAX, VA, 220306036Browse VA providers · Browse ZIP 22030
- Phone
- 7032188500
- Fax
- 7033590463
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| DR. LYNN FERTELL FIELD | PHD, LPC | 1699776021 |
| JANINE M MURPHY-NEILSON | LPC | 1366434169 |
| DR. GERALDINE ELIZABETH VINGELIS | EDD | 1285693044 |
| THERESA A. COURTILLET | LPC | 1487604237 |
| KATHY MARIE STEVENS | LPC | 1619909918 |
| LORETTA SCHULZ | LPC | 1265459903 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.