Provider Demographics
NPI:1871370205
Name:WARITHMUHAMMAD, QAADIRA (LPC)
Entity type:Individual
Prefix:
First Name:QAADIRA
Middle Name:
Last Name:WARITHMUHAMMAD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15807 WIND SEEKER CT APT SUITE
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-7331
Mailing Address - Country:US
Mailing Address - Phone:804-243-6800
Mailing Address - Fax:
Practice Address - Street 1:2306 BOULEVARD STE B
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2320
Practice Address - Country:US
Practice Address - Phone:804-243-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YS0200X
VA0701012829101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool