Individual
BETHANY R LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS NCC NCSC LPC
Contact information
Practice address
6454 GRISTMILL SQUARE LN, CENTREVILLE, VA 20120-3723
(610) 212-9312
Mailing address
6454 GRISTMILL SQUARE LN, CENTREVILLE, VA 20120-3723
(610) 212-9312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701006399
VA
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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