Individual
LAUREN RIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10650 MAIN ST, FAIRFAX, VA 22030-3814
(571) 418-1714
Mailing address
1023 N ROYAL ST UNIT 304, ALEXANDRIA, VA 22314-1597
(251) 228-0745
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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