Individual
ABIGAIL F VANDIVIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-3460
(703) 522-2089
Mailing address
12007 SUNRISE VALLEY DR STE 120, RESTON, VA 20191-3460
(703) 434-9858
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701014251
VA
Other
Enumeration date
11/29/2023
Last updated
02/02/2025
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