Individual
MARIA GABRIELLA D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-R, ATR-P
Contact information
Practice address
1485 CHAIN BRIDGE RD STE 300, MC LEAN, VA 22101-4501
(703) 534-5100
Mailing address
1485 CHAIN BRIDGE RD STE 300, MC LEAN, VA 22101-4501
(703) 534-5100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704017347
VA
221700000X
Art Therapist
24-802
VA
Other
Enumeration date
09/28/2024
Last updated
09/28/2024
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