Individual
MFRIE-EMEM IFIOK IMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11495 SUNSET HILLS RD STE 202, RESTON, VA 20190-5213
(703) 935-0058
Mailing address
5893 ANTHONY DR, WOODBRIDGE, VA 22193-3619
(703) 730-0302
(703) 730-0300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704014228
VA
101YP2500X
Professional Counselor
Primary
0701014402
VA
Other
Enumeration date
09/15/2022
Last updated
08/08/2025
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