Individual
SANDRA SANTA BARBARA GONCALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D, LCP
Contact information
Practice address
102 HERITAGE WAY NE, SUITE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Mailing address
102 HERITAGE WAY NE, SUITE 302, LEESBURG, VA 20176-4544
(703) 771-5100
(703) 777-0170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
0810004521
VA
Other
Enumeration date
09/14/2007
Last updated
01/11/2012
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