Individual
CARLA SAMS TOENNIESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
513 MAPLE AVE W, SECOND FLOOR, VIENNA, VA 22180-4238
(703) 863-2737
Mailing address
3718 RICHARD AVE, FAIRFAX, VA 22031-3535
(703) 863-2737
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001147
VA
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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