Individual
LISA GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8802 SUDLEY RD, SUITE 112, MANASSAS, VA 20110-4736
(703) 393-7905
(703) 393-9227
Mailing address
PO BOX 1831, MANASSAS, VA 20108-1831
(703) 393-7905
(703) 393-9227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004776
VA
Other
Enumeration date
02/17/2010
Last updated
04/22/2010
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