Individual
DR. LAURA A GRANATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7640 PROVINCIAL DR, MC LEAN, VA 22102-7641
(703) 636-1200
(703) 636-1300
Mailing address
19964 HAZELTINE PL, ASHBURN, VA 20147-4132
(703) 636-1200
(703) 636-1300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002672
VA
106H00000X
Marriage & Family Therapist
0717000710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103501
ANTHEM
VA
01
—
S297
BCBS
VA
Enumeration date
04/17/2007
Last updated
04/03/2026
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