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Individual

DANIELLE JULIETTE LISELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627
(323) 522-2218
Mailing address
1640 BORO PL FL 4, MC LEAN, VA 22102-3627

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
09/05/2018
Last updated
02/12/2026
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