Individual
SARA BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 S PITT ST, ALEXANDRIA, VA 22314-3112
(301) 541-3224
Mailing address
112 S PITT ST, ALEXANDRIA, VA 22314-3112
(301) 541-3224
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704012977
VA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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