Search › Virginia › 101YP2500X
Clinton Brogdon, LPC
NPI 1457880684 · on the registry since 2017 · sole proprietor
Practice
- Address
- 11204 Waples Mill Rd
Fairfax, VA 22030 - Phone
- (703) 218-8500
- Fax
- (703) 359-0463
- Organisation at this address
- Inova Kellar Center
Inova Health SystemsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 32
Additional practice sites
- 14143 Robert Paris Ct, Chantilly, VA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia