Organization
PROSPERA COUNSELING AND CONSULTING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE CARRERA LPC (OWNER)
(703) 261-4975
Entity
Organization
Contact information
Practice address
1800 DIAGONAL RD, SUITE 600 PMB 1139, ALEXANDRIA, VA 22314-2840
(703) 461-4975
Mailing address
1800 DIAGONAL RD, SUITE 600 PMB 1139, ALEXANDRIA, VA 22314-2840
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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