Provider Demographics
NPI:1730372566
Name:VANBRUNT, ARIKA JOY (LPC)
Entity type:Individual
Prefix:MRS
First Name:ARIKA
Middle Name:JOY
Last Name:VANBRUNT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:ARIKA
Other - Middle Name:JOY
Other - Last Name:BENEDICT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:407 N. WASHINGTON ST.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046
Mailing Address - Country:US
Mailing Address - Phone:571-494-1243
Mailing Address - Fax:703-533-0211
Practice Address - Street 1:407 N. WASHINGTON ST.
Practice Address - Street 2:SUITE 101
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046
Practice Address - Country:US
Practice Address - Phone:571-494-1243
Practice Address - Fax:703-533-0211
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-24
Last Update Date:2013-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003474101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor