Provider Demographics
NPI:1053131268
Name:WILLIAMS, CHARLIE VEE (LPC)
Entity type:Individual
Prefix:
First Name:CHARLIE
Middle Name:VEE
Last Name:WILLIAMS
Suffix:
Gender:X
Credentials:LPC
Other - Prefix:
Other - First Name:VICKIE
Other - Middle Name:VALOY
Other - Last Name:FUHRIMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:20880 ISHERWOOD TER APT 202
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-7792
Mailing Address - Country:US
Mailing Address - Phone:435-760-4139
Mailing Address - Fax:
Practice Address - Street 1:20880 ISHERWOOD TER APT 202
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-7792
Practice Address - Country:US
Practice Address - Phone:571-390-3181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-14
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014046101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor