Individual
MRS. HEATHER MCTAGGART BRYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8626 LEE HWY, FAIRFAX, VA 22031-2135
(202) 491-0998
(202) 654-0898
Mailing address
8626 LEE HWY, FAIRFAX, VA 22031-2135
(202) 491-0998
(202) 654-0898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005155
VA
Other
Enumeration date
12/28/2010
Last updated
11/27/2012
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