Individual
MARIANNE G SHIRILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
10379 B DEMOCRACY LANE, FAIRFAX, VA 22030-2505
(703) 657-9721
(703) 591-2563
Mailing address
10379 B DEMOCRACY LANE, FAIRFAX, VA 22030-2505
(703) 657-9721
(703) 591-2563
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701004270
VA
106H00000X
Marriage & Family Therapist
Primary
0717001260
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104429
—
NC
Enumeration date
01/11/2010
Last updated
08/07/2021
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