Individual
STACY LYNN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
20211 AZTEC CT, ASHBURN, VA 20147-3381
(703) 407-5844
Mailing address
20211 AZTEC CT, ASHBURN, VA 20147-3381
(703) 407-5844
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701010908
VA
Other
Enumeration date
10/23/2021
Last updated
10/23/2021
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