Individual
BEVERLY FARMELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5290 LYNGATE CT, BURKE, VA 22015-1688
(703) 503-7822
(703) 503-0446
Mailing address
94 OLD HOLLOW RD, SPERRYVILLE, VA 22740-2020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701003410
VA
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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