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Individual

MARIA-LUISA CEBALLOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC, CSAC

Contact information

Practice address
150 S WASHINGTON ST, SUITE 303, FALLS CHURCH, VA 22046-2929
(703) 593-4097
Mailing address
6003 WAYNESBORO CIR, SPRINGFIELD, VA 22150-1320
(703) 593-4097

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710102144
VA
101YP2500X
Professional Counselor
Primary
0701005294
VA

Other

Enumeration date
09/18/2012
Last updated
03/26/2017
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