Individual
MRS. STACEY MEREDITH PIEDMONT-COFFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11975 BOWMAN TOWNE DR, RESTON, VA 20190-3306
(703) 481-8264
Mailing address
2214 SPRINGWOOD DR, UNIT 103, RESTON, VA 20191-2350
(703) 476-7867
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003984
VA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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