MS. JUDITH CLEARY CONNELL LPC NPI 1205842622

NPI Information

NPI: 1205842622
Provider Name: MS. JUDITH CLEARY CONNELL, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
18697 FOREST RD
THE MADELINE CENTER
LYNCHBURG, VA
ZIP 24502
Phone: (434) 239-0003
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MS. Judith Cleary Connell, LPC is a professional counselor in Lynchburg, VA. MS. Judith Cleary Connell, LPC NPI is 1205842622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18697 FOREST RD
THE MADELINE CENTER
LYNCHBURG, VA
ZIP 24502-363
Phone: (434) 239-0003
Fax: (434) 239-0181

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	0701001192	VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5414784	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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