Individual
LAUREN BEAM OTTENHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
133 PARK ST NE STE 3B, VIENNA, VA 22180-4666
(703) 622-8378
Mailing address
133 PARK ST NE STE 3B, VIENNA, VA 22180-4666
(302) 259-1736
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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