Individual
MRS. ELAYNE MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
16124 OLMSTEAD LN, WOODBRIDGE, VA 22191-4423
(571) 408-1161
Mailing address
3930 WALNUT ST STE 250, FAIRFAX, VA 22030-4750
(571) 408-1161
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT10000475
MA
106H00000X
Marriage & Family Therapist
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Other
Enumeration date
03/01/2012
Last updated
07/17/2025
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