Individual
MRS. STEPHANIE RENEE BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC, QMHP-A
Contact information
Practice address
8221 WILLOW OAKS CORPORATE DR STE 3-330K, FAIRFAX, VA 22031-4512
(301) 785-4153
Mailing address
3924 TEDRICH BLVD, FAIRFAX, VA 22031-3543
(301) 785-4153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008992
VA
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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