Individual
LETHA VALIAVEEDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
15802 ATHENS CT, BOWIE, MD 20716-1344
(949) 609-9557
Mailing address
1320 VINCENT PL, MC LEAN, VA 22101-3614
(949) 609-9557
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004333
VA
Other
Enumeration date
11/16/2007
Last updated
06/07/2010
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