Individual
CLARISSA REEVES RATHBONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., LPC
Contact information
Practice address
10560 MAIN ST, STE 410, FAIRFAX, VA 22030-7182
(703) 352-8900
(703) 352-9040
Mailing address
6813 JEREMIAH CT, FAIRFAX STATION, VA 22039-1834
(703) 425-1434
(703) 764-0516
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004460
VA
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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