Individual
CINDY SAMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8150 LEESBURG PIKE STE 740, VIENNA, VA 22182-7700
(703) 397-7680
Mailing address
8150 LEESBURG PIKE STE 740, VIENNA, VA 22182-7700
(703) 397-7680
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904003947
VA
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
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