Individual
MARY RHEA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11260 ROGER BACON DR STE 206, RESTON, VA 20190-5252
(816) 547-4453
Mailing address
1179 CYPRESS TREE PL, HERNDON, VA 20170-4135
(816) 547-4453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2017028079
MO
101YP2500X
Professional Counselor
Primary
0701006707
VA
Other
Enumeration date
01/12/2018
Last updated
04/17/2020
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