Individual
JUAN CARLOS LAGARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
6400 ARLINGTON BLVD STE 110, FALLS CHURCH, VA 22042-2349
(571) 748-2714
Mailing address
4505 HAZELNUT CT, CHANTILLY, VA 20151-2415
(917) 557-7072
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012965
VA
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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