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Organization

IN VIEW COUNSELING SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA S CORNELIUS LPC (LICENSED PROFESSIONAL COUNSELOR)
(973) 534-5227
Entity
Organization

Contact information

Practice address
10400 EATON PL STE 420, FAIRFAX, VA 22030-2208
(973) 534-5227
Mailing address
8963 JUNCO CT, GAINESVILLE, VA 20155-5866
(973) 534-5227

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11366802
BUSINESS ID
VA
Enumeration date
03/29/2022
Last updated
03/29/2022
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