Individual
COLLEEN COPELAND SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
40935 GRENATA PRESERVE PL, LEESBURG, VA 20175-8720
(571) 206-4252
Mailing address
40935 GRENATA PRESERVE PL, LEESBURG, VA 20175-8720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005642
VA
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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