Individual
MRS. SUSAN MCCARTY MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LMFT
Contact information
Practice address
24600 MILLSTREAM DR, SUITE 340, STONE RIDGE, VA 20105-5685
(703) 327-0335
(703) 327-0225
Mailing address
24600 MILLSTREAM DR, SUITE 340, STONE RIDGE, VA 20105-5685
(703) 327-0335
(703) 327-0225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001348
VA
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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