Individual
SUSAN BRANCO-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
501 CHURCH ST NE, VIENNA, VA 22180-4734
(703) 242-3711
Mailing address
2719 C SOUTH WALTER REED DR., ARLINGTON, VA 22206
(703) 242-3711
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701003453
VA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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