Individual
TAMARA L ELASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
10560 MAIN ST STE 611, FAIRFAX, VA 22030-7114
(703) 972-2120
(703) 972-2891
Mailing address
10560 MAIN ST STE 611, FAIRFAX, VA 22030-7182
(703) 972-2120
(703) 972-2891
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701011466
VA
Other
Enumeration date
05/04/2022
Last updated
11/05/2025
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