Individual
VIRGINIA DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 BLENHEIM BLVD STE 23A, FAIRFAX, VA 22030-2432
(703) 259-5617
Mailing address
10432 COLLINGHAM DR, FAIRFAX, VA 22032-2608
(423) 580-5743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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