Individual
MS. MARGUERITE COPE HURSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5675 STONE RD, SUITE 300, CENTREVILLE, VA 20120-1667
(703) 715-6077
(703) 631-6982
Mailing address
15141 OLDDALE ROAD, CENTREVILLE, VA 20120-1409
(703) 631-6982
(703) 631-6982
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002921
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144126
ANTHEM BEHAVIORAL HEALTH
VA
01
—
222672
KAISER PERMANENTE BEHAVIO
VA
01
—
7874579
AETNA BEHAVIORAL HEALTH
VA
01
—
K016-0001
BLUECROSS BLUESHIELD
VA
Enumeration date
10/03/2006
Last updated
07/08/2007
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