Individual
LAURA ONEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9677 MAIN ST # A-B, FAIRFAX, VA 22031-3763
(301) 767-1733
Mailing address
9677 MAIN ST STE A-B, FAIRFAX, VA 22031-3763
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011439
VA
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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