person
Clinton Lee Brogdon, LPC
Professional Counselor in Fairfax, Virginia
NPI 1457880684

Clinton Lee Brogdon is a Professional Counselor based in Centreville, VA and is specialized in Professional. Clinton Lee Brogdon practices in Fairfax, VA and has the professional credentials of LPC. The NPI Number for Clinton Lee Brogdon is 1457880684 and holds a License No. (Virginia).

The current practice location address for Clinton Lee Brogdon is 11204 Waples Mill Rd, Fairfax, VA and can be reached out via phone at 703-218-8500 and via fax at 703-359-0463.

Location: 11204 Waples Mill Rd, Fairfax, VA, 20120-0444
person
Provider Profile Details
NPI Number
1457880684
Provider Name
Clinton Lee Brogdon
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
11204 Waples Mill Rd, Fairfax, VA, 20120-0444
Phone Number
703-218-8500
Fax Number
703-359-0463
Provider Enumeration Date
06/10/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11204 Waples Mill Rd
City
State
Zip
22030-6036
Phone Number
703-218-8500
Fax Number
703-359-0463
person
Provider Business Mailing Address Details
Address
11204 Waples Mill Rd
City
State
Zip
22030-6036
Phone Number
703-218-8500
Fax Number
703-359-0463
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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