Individual
MS. MYRA BINNS BRIDGFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LMFT
Contact information
Practice address
513 MAPLE AVE W STE 2, SECOND FLOOR, VIENNA, VA 22180-4229
(703) 281-4703
Mailing address
513 MAPLE AVE W STE 2, SECOND FLOOR, VIENNA, VA 22180-4229
(703) 281-4703
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717000531
VA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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