Individual
EARL R DURANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LMFT
Contact information
Practice address
11250 ROGER BACON DR, SUITE 12, RESTON, VA 20190-5219
(703) 437-9993
(703) 437-9975
Mailing address
11250 ROGER BACON DR, SUITE 12, RESTON, VA 20190-5219
(703) 437-9993
(703) 437-9975
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001747
VA
106H00000X
Marriage & Family Therapist
0717000693
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0701001747
LICENSED PROFESSIONAL COUNSELOR
VA
01
—
0717000693
LICENSED MARRIAGE AND FAMILY THERAPIST
VA
Enumeration date
06/10/2009
Last updated
06/10/2009
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