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Individual

MRS. DIANE MCCARTHY PROST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.ED, NCC, LPC

Contact information

Practice address
10522 ROSEHAVEN ST APT 214, FAIRFAX, VA 22030-2862
(314) 640-1530
(636) 898-4758
Mailing address
10522 ROSEHAVEN ST APT 214, FAIRFAX, VA 22030-2862
(314) 640-1530
(636) 898-4758

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701013187
VA
101YP2500X
Professional Counselor
Primary
2011037455
MO

Other

Enumeration date
12/27/2016
Last updated
01/03/2024
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