Individual
YAHAIRA DE LAROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4512
(540) 361-0560
Mailing address
608 HALLECK ST, FREDERICKSBURG, VA 22407-8627
(540) 361-0560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701010184
VA
101YP2500X
Professional Counselor
0082
PR
Other
Enumeration date
07/17/2008
Last updated
02/02/2021
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