Individual
VANESA HEREDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9300 FOREST POINT CIR, MANASSAS, VA 20110-4765
(434) 299-8501
Mailing address
PO BOX 711, OCCOQUAN, VA 22125-0711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701012981
VA
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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