Individual
BRENTON SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3014 COLVIN ST STE 1-A, ALEXANDRIA, VA 22314-5031
(703) 936-6214
Mailing address
3014 COLVIN ST STE 1-A, ALEXANDRIA, VA 22314-5031
(703) 936-6214
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
0704017739
VA
Other
Enumeration date
11/30/2022
Last updated
01/30/2025
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