Individual
AMY ANGELA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC, ICGC-I
Contact information
Practice address
6305 CASTLE PL STE 2A, FALLS CHURCH, VA 22044-1905
(703) 520-1072
Mailing address
6305 CASTLE PL STE 2A, FALLS CHURCH, VA 22044-1905
(703) 520-1072
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701007748
VA
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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