Individual
DANA AIMEE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 CHAIN BRIDGE RD, FAIRFAX, VA 22030-2708
(540) 247-3174
Mailing address
72 COLONY AVE, DALEVILLE, VA 24083-3003
(540) 247-3174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0906013670
VA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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