Individual
LISA MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3935
(571) 234-9184
Mailing address
7201 ADRIENNE GLEN AVE, SPRINGFIELD, VA 22152-3540
(703) 304-4739
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701012696
VA
101YP2500X
Professional Counselor
070403459
VA
Other
Enumeration date
06/20/2023
Last updated
07/19/2023
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