Individual
MS. SUZANNE BROOKS HERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4614 TAPESTRY DR, FAIRFAX, VA 22032-3617
(703) 209-3545
(703) 978-7547
Mailing address
4614 TAPESTRY DR, FAIRFAX, VA 22032-3617
(703) 209-3545
(703) 978-7547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701003785
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
05
—
004978277
—
VA
01
—
210245
BLUE CROSS BLUE SHIELD
VA
Enumeration date
10/24/2006
Last updated
08/29/2024
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