Individual
ELESIA S VANBUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
8 BLOOMINGTON LN, STAFFORD, VA 22554-7727
(540) 645-8992
Mailing address
2650 RICHMOND HWY UNIT 501, STAFFORD, VA 22554-5095
(540) 645-8992
(540) 288-0077
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CL6068481
WA
Other
Enumeration date
12/20/2019
Last updated
12/31/2022
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