Individual
LOLA STUBBLEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5045 BACKLICK ROAD, ANNANDALE, VA 22003
(703) 914-0499
Mailing address
PO BOX 2951, ALEXANDRIA, VA 22301-0951
(703) 778-0442
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003314
VA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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