Individual
LARISSA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7051 HEATHCOTE VILLAGE WAY, GAINESVILLE, VA 20155-3196
(571) 918-9239
Mailing address
7051 HEATHCOTE VILLAGE WAY, GAINESVILLE, VA 20155-3196
(703) 665-7686
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011103
VA
Other
Enumeration date
09/27/2024
Last updated
03/16/2026
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