Individual
CARRY DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15874 MACKENZIE MANOR DR, HAYMARKET, VA 20169-4947
(520) 401-4648
(703) 753-2539
Mailing address
15874 MACKENZIE MANOR DR, HAYMARKET, VA 20169-4947
(520) 401-4648
(703) 753-2539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008544
VA
Other
Enumeration date
09/11/2019
Last updated
09/11/2019
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