Individual
ANDREA MICHELLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3025 HAMAKER CT STE 450, FAIRFAX, VA 22031-2237
(703) 204-9100
(301) 468-1862
Mailing address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 468-1862
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008666
VA
101YM0800X
Mental Health Counselor
72022793503
UT
Other
Enumeration date
02/17/2011
Last updated
02/15/2023
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