Individual
VIRGINIA REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
14150 PARKEAST CIR, SUITE 275, CHANTILLY, VA 20151-2295
(703) 449-6306
(703) 968-4020
Mailing address
14150 PARKEAST CIR, SUITE 275, CHANTILLY, VA 20151-2295
(703) 449-6306
(703) 968-4020
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9040062224
VA
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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