Healthcare Provider Details

I. General information

NPI: 1538142963
Provider Name (Legal Business Name): D'ANDREA TRAINOR WASHBURN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2005
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 LAKE AVE
SALEM VA
24153-3237
US

IV. Provider business mailing address

35 LAKE AVE
SALEM VA
24153-3237
US

V. Phone/Fax

Practice location:
  • Phone: 540-591-9911
  • Fax: 540-591-9914
Mailing address:
  • Phone: 540-591-9911
  • Fax: 540-591-9914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002977
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701002977
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: