Individual
SAMANTHA RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 CHAIN BRIDGE RD STE C, FAIRFAX, VA 22030-3246
(757) 525-2715
Mailing address
2721 S ADAMS ST APT 403, ARLINGTON, VA 22206-2880
(757) 525-2715
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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