Individual
MRS. SARA WANNER GROARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,LMFT,CSAC
Contact information
Practice address
6842 ELM ST, SUITE 104, MC LEAN, VA 22101-3891
(703) 855-1312
(703) 356-3461
Mailing address
6842 ELM ST, SUITE 104, MC LEAN, VA 22101-3891
(703) 855-1312
(703) 356-3461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0710001190
VA
101YM0800X
Mental Health Counselor
0701002267
VA
106H00000X
Marriage & Family Therapist
Primary
0717000190
VA
Other
Enumeration date
11/12/2007
Last updated
11/12/2007
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