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Individual

MICHELLE S ALBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, CSOTP

Contact information

Practice address
1308 DEVILS REACH RD, 310, WOODBRIDGE, VA 22192-2806
(703) 492-2994
Mailing address
1308 DEVILS REACH RD, 310, WOODBRIDGE, VA 22192-2806
(703) 492-2994

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004237
VA
101YP2500X
Professional Counselor
0812000531
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004945026
VA
Enumeration date
10/12/2007
Last updated
07/01/2024
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