Individual
MS. SOPHIA PANIECZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
9071 SILVER MAPLE CT, MANASSAS, VA 20110-4884
(703) 368-1118
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210245
BLUE CROSS BLUE SHIELD
VA
Enumeration date
10/18/2006
Last updated
07/08/2007
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