Individual
DINA ANNE HILARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11198 LEE HWY STE D2, FAIRFAX, VA 22030-5009
(703) 785-0031
Mailing address
4659 EGGLESTON TER, FAIRFAX, VA 22030-6274
(703) 408-1577
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0717001499
VA
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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