Individual
MR. EUSTACE JOHN STAPLER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
487 CARLISLE DR, HERNDON, VA 20170-4898
(703) 435-7251
(703) 435-7694
Mailing address
487 CARLISLE DR, HERNDON, VA 20170-4898
(703) 435-7251
(703) 435-7694
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701005330
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-701005330
BOARD OF COUNSELING
VA
Enumeration date
11/18/2012
Last updated
11/18/2012
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