Individual
IRENA SAROVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12721 DARBY BROOK CT, WOODBRIDGE, VA 22192-2408
(703) 497-1771
Mailing address
12721 DARBY BROOK CT, WOODBRIDGE, VA 22192-2408
(703) 497-1771
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701002982
VA
101YP2500X
Professional Counselor
PRC157
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12179547
CAQH
—
01
—
478281
MHN
—
Enumeration date
08/11/2011
Last updated
09/22/2012
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