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Individual

ALYSSA TEITSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
443B CARLISLE DR STE 204, HERNDON, VA 20170-4802
(703) 966-2680
Mailing address
12102 QUORN LN, RESTON, VA 20191-2625
(703) 966-2680

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014324
VA

Other

Enumeration date
12/26/2024
Last updated
12/26/2024
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