Individual
DIANE HOFSTADTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
129 PARK ST NE, SUITE 10A, VIENNA, VA 22180-4603
(405) 818-6024
Mailing address
5714 MACKENZIE ST, CENTREVILLE, VA 20120-1422
(405) 818-6024
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004826
VA
101YP2500X
Professional Counselor
1667
OK
Other
Enumeration date
10/20/2006
Last updated
10/12/2011
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