Individual
MISS ANNA ELIZABETH RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSAC,LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710102141
VA
101YP2500X
Professional Counselor
0701004115
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945247
—
VA
Enumeration date
01/03/2007
Last updated
09/11/2025
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