Provider Demographics
NPI:1871538736
Name:SIGAFOOS, SHERRY RENEE (LPC,LMFT,LSATP,CSAC)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:RENEE
Last Name:SIGAFOOS
Suffix:
Gender:F
Credentials:LPC,LMFT,LSATP,CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5267 GREENWICH RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6028
Mailing Address - Country:US
Mailing Address - Phone:757-552-0884
Mailing Address - Fax:757-552-0887
Practice Address - Street 1:5267 GREENWICH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6028
Practice Address - Country:US
Practice Address - Phone:757-552-0884
Practice Address - Fax:757-552-0887
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000162101YA0400X
VA0710000534101YA0400X
VA0717000850106H00000X
VA101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional