Individual
MS. ANDREA J. FATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9506B LEE HWY, FAIRFAX, VA 22031-2303
(703) 343-6611
Mailing address
4560 STRUTFIELD LN, #1110, ALEXANDRIA, VA 22311-4964
(703) 343-6611
(703) 273-2038
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003020
VA
Other
Enumeration date
09/03/2008
Last updated
08/04/2010
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