Individual
OLUSOLA EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT,LPC,LCDC
Contact information
Practice address
21335 SIGNAL HILL PLZ STE 250, STERLING, VA 20164-5567
(703) 682-2471
Mailing address
21335 SIGNAL HILL PLZ STE 250, STERLING, VA 20164-5567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11934
TX
101YP2500X
Professional Counselor
69902
TX
106H00000X
Marriage & Family Therapist
Primary
201918
TX
Other
Enumeration date
01/02/2014
Last updated
11/25/2017
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