Individual
LINA CUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8422 ELECTRIC AVE, VIENNA, VA 22182-5109
(703) 849-1312
Mailing address
8422 ELECTRIC AVE, VIENNA, VA 22182-5109
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005715
VA
Other
Enumeration date
09/17/2014
Last updated
07/12/2024
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