Individual
MS. LILLIAN CLARISE ST. LAURENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
22636 GLENN DRIVE SUITE 105, STERLING, VA 20164
(571) 277-1105
(703) 481-5735
Mailing address
22636 GLENN DRIVE SUITE 105, STERLING, VA 20164
(571) 277-1105
(703) 481-5735
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001994
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107346
ANTHEM BC/BS
VA
Enumeration date
10/04/2006
Last updated
07/09/2007
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