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Individual

MS. CARRIE ANNETTE CECCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.C.

Contact information

Practice address
102 HERITAGE WAY NE, SUITE 302, LEESBURG, VA 20176
(703) 771-5100
(703) 777-0170
Mailing address
102 HERITAGE WAY NE STE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002729
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
286660
ANTHEM
VA
01
286661
ANTHEM
VA
Enumeration date
09/29/2006
Last updated
09/07/2007
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