Provider Demographics
NPI:1609016179
Name:LOOMIS, JAMES CHRISMAN (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:CHRISMAN
Last Name:LOOMIS
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:501 VILLAGE AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-5657
Mailing Address - Country:US
Mailing Address - Phone:757-992-9291
Mailing Address - Fax:757-656-5658
Practice Address - Street 1:501 VILLAGE AVE STE 204
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-5657
Practice Address - Country:US
Practice Address - Phone:757-992-9291
Practice Address - Fax:757-656-5658
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004539101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional