Individual
MS. MARSHA DELOIS EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPC
Contact information
Practice address
10195 MAIN ST, SUITE N, FAIRFAX, VA 22031-3415
(703) 591-9600
(703) 591-9656
Mailing address
10195 MAIN ST, SUITE N, FAIRFAX, VA 22031-3415
(703) 591-9600
(703) 591-9656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701004932
VA
Other
Enumeration date
10/16/2010
Last updated
12/05/2010
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