Individual
SAMANTHA STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3258 GOLANSKY BOULEVARD, SUITE 201, WOODBRIDGE, VA 22192-3253
(571) 535-4706
Mailing address
PO BOX 5396, WOODBRIDGE, VA 22194-5396
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010045
VA
Other
Enumeration date
11/30/2020
Last updated
05/24/2021
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