Individual provider · Type 1 NPI

Evan A. Pergrim, LPC

Professional Counselor · Leesburg, VA

NPI number 1194393488 Active

Practice location

199 Liberty St SW
Leesburg, VA 20175-2715

Call (804) 207-6737 Map

Fax (703) 665-7686

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XC.2204456 (OH)
Professional Counselor Primary 101YP2500X0701015732 (VA)
Professional Counselor 101YP2500XC.2103296-TRNE (OH)

Professional Counselor: Definition to come...

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About NPI 1194393488

Evan A. Pergrim, LPC's National Provider Identifier is 1194393488, issued on Jun 14, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Leesburg, VA. The record was last updated on Mar 19, 2026.