Individual
ALICE VIVIEN BLIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
1850 CAMERON GLEN DR, SUITE 600, RESTON, VA 20190-3363
(703) 481-4129
Mailing address
1850 CAMERON GLEN DRIVE, SUITE 600, RESTON, VA 20190
(703) 715-8486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002661
VA
Other
Enumeration date
08/23/2006
Last updated
07/08/2007
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