Individual
ALEXIS LARYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9301 FOREST POINT CIR, MANASSAS, VA 20110-4700
(877) 566-9624
Mailing address
9301 FOREST POINT CIR, MANASSAS, VA 20110-4700
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701014303
VA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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