Individual
DIERA PARHAM-CARRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC CSOTP
Contact information
Practice address
2142 RICHMOND HWY STE 103, STAFFORD, VA 22554-7200
(540) 467-7497
Mailing address
2142 RICHMOND HWY STE 103, STAFFORD, VA 22554-7200
(540) 467-7497
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0704007656
VA
101YM0800X
Mental Health Counselor
LPC013344
GA
101YM0800X
Mental Health Counselor
Primary
PRC15344
DC
101YP2500X
Professional Counselor
0701010057
VA
101YP2500X
Professional Counselor
0704007656
VA
101YP2500X
Professional Counselor
LPC013344
GA
101YP2500X
Professional Counselor
PRC15344
DC
Other
Enumeration date
06/28/2020
Last updated
10/07/2025
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