Individual
OLIVIA ADELLE SWEETNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
13818 LITESPEED WAY, GAINESVILLE, VA 20155-3357
(540) 560-7499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701009077
VA
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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