Individual
MRS. LORRIE A MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12721 DARBY BROOK CT, SUITE 102, WOODBRIDGE, VA 22192-2408
(703) 497-1771
(703) 497-1225
Mailing address
6907 QUANDER RD, ALEXANDRIA, VA 22307-1657
(703) 721-3635
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0718000123
VA
101YP2500X
Professional Counselor
Primary
0701003902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
088656M
SENTARA
VI
01
—
188901
ANTHEM
VI
01
—
2140350
MDIPA
VA
Enumeration date
06/13/2006
Last updated
09/11/2025
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