Individual
MS. LAUREN TRECOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5417-C BACKLICK ROAD, SPRINGFIELD, VA 22151
(571) 275-1423
Mailing address
5010 PORTSMOUTH ROAD, FAIRFAX, VA 22032
(571) 275-1423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003258
VA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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