Provider Demographics
NPI:1679280077
Name:STASSIN, BRITTANY WARF (LPC)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:WARF
Last Name:STASSIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:TAYLOR
Other - Last Name:WARF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6784 BEACH DR
Mailing Address - Street 2:
Mailing Address - City:RADFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24141-8318
Mailing Address - Country:US
Mailing Address - Phone:540-239-0431
Mailing Address - Fax:
Practice Address - Street 1:6784 BEACH DR
Practice Address - Street 2:
Practice Address - City:RADFORD
Practice Address - State:VA
Practice Address - Zip Code:24141-8318
Practice Address - Country:US
Practice Address - Phone:540-239-0431
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-04
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701014158101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional