Individual
LISA MARIE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
202 ANCHOR CV, STAFFORD, VA 22554-2220
(571) 575-2068
Mailing address
202 ANCHOR CV, STAFFORD, VA 22554-2220
(571) 575-2068
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011324
VA
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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