Individual
ANSLEY SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
7010 BRADDOCK RD, ANNANDALE, VA 22003-6006
(703) 941-8810
Mailing address
302 CLOVERWAY DR, ALEXANDRIA, VA 22314-4818
(703) 402-7314
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PRC14599
DC
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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