Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clinton Lee Brogdon, LPC

Individual provider Professional Counselor · NPI 1457880684

Clinton Lee Brogdon, LPC is a Professional Counselor in Fairfax, Virginia. Practices as a sole proprietor and works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

11204 Waples Mill Rd
Fairfax, VA 22030-6036
Phone: (703) 218-8500
Fax: (703) 359-0463
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14143 Robert Paris Ct, Chantilly, VA 20151-4201 — (571) 528-0805

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701007411 (VA)
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1457880684
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedJune 10, 2017
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020
Mailing addressPo Box 230444, Centreville, VA 20120-0444

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